Name Of Scout(s):   

Age(s):   

Number of Scouts:   

Parent's Name:   

Phone:   

Email:   

Program:   

Call of the Wild

Cost:   

$ 10.00

Date:   

May 8, 2010

Cost:   

By clicking the "Submit" button you agree to the following:

Photo Release: I authorize ScienceSouth and any media authorized by ScienceSouth to take and use without payment any photographs, audio and/or video of my child as needed for public relations, marketing, advertising, or internal training purposes.

Over-time charge/Pick-up: Children should be picked up promptly at noon. Children left passed noon are subject to an overtime charge of $5/every five minutes late.