Nixon Elementary

ENGAGE. EXPLORE. EMPOWER.

The mission of Little Medical School® is to teach children about their health and the exciting field of medicine. Through hands-on demonstrations, crafts, and games, children are actively engaged as they explore the world of medicine. Little Medical School was founded by Dr. Mason and its curriculum is designed and maintained by board certified physicians.

www.littlemedicalschool.com/sfbay

Parent Contact Information

Name

Phone Number

Address

Child Registration Information

Child's Name

Child's Date of Birth

Gender

Male
Female

Allergies

Strengths/Needs

Chronic Illness/Medication

Lab coat Size

Names of sibling(s) who will also attend after-school

Emergency Contact Information

Emergency Contact

Emergency Contact Phone Number

Pick-up Information (Authorized Individuals and Phone Number)

Registration Options

Winter/Spring 2017 Session - 16 weeks Total ($380.00)
January 9th through May 15th; Time: 2:30pm - 3:30pm; (no class Jan 16, Feb 20, Apr 3)
Spring 2017 Session - 8 weeks TOTAL ($190.00)
March 20th through May 15th; Time: 2:30pm - 3:30pm; (no class Apr 3)

Running Total

$0.00

Coupon Code

Total

$0.00

Terms & Agreements

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