Registration K – 2ndSaturdays Jan 10 – Mar 7, 2026K – 2nd grade, 10 am – 11:15 am Please enable JavaScript in your browser to complete this form.Parent/Guardian 1 *FirstLastEmail *PhoneParent/Guardian 2FirstLastEmailPhoneChild Information *FirstLastAge *Grade *— Select Choice —K1st2ndOtherSchool *Emergency contact 1 *FirstLastPhone *Emergency contact 2FirstLastPhoneHas your child attended a Neuro Ninjas session before? *YesNoIf yes, when and where? child we Please Please list any medical condition we should know about, such as allergies (include use of EpiPen), epilepsy, etc *Authorized pickup: Please list the full names of all authorized people *How did you hear about us *— Select Choice —Social mediaSearch enginesWord of mouthFlyerOtherMedia Release: I grant LodeLu permission to use photos/videos of my child for website and marketing purposes. *YesNoEquipment Care Agreement: *I understand that students will be using specialized neuroscience equipment (SpikerBot prototypes) and electronics (computers and iPads). While normal wear and tear is expected, parents may be responsible for damages caused by intentional misuse.Continue to Payment