Program Interest Form

Who We Are

What We Do

Information Form

Name

First Name

Last Name

Zip Code

Program

Homeschool EdVenture Club

Lil' EdVentures

Number of Students

Age of Students

Available Days

Monday

Tuesday

Wednesday

Thursday

Friday

Times Available

Morning (8am - 12pm)

Afternoon/Evening (12pm - 6pm)

Lesson Topic Interests

Example: water-cycle, ecology, geology, biology, etc.

Activity Interests

Example: hands-on, science, hiking, creek exploration, etc.

General Information

Any information we may have missed or something we should know?