Competition & Travel Fee

$580.00

Excluding Sales Tax

• One-time fee
• Competition Registration
• Project materials and presentation boards
• Instructor travel & on-site coaching and support

Student First name

Student Last name

Student Birthday

Month

Day

Year

Grade

Allergies & Relevant Medical Information

Parent First & Last Name

Phone

I give permission for my child to be photographed and/or recorded during program activities for educational, promotional, and documentation purposes.

I understand that my child will be participating in hands-on science activities as part of the Select Yuri Method Research Fellowship. I acknowledge that participation involves standard educational risks, and I consent to my child’s participation in all program activities. I release and hold harmless Yuri Method, its instructors, and staff from liability except in cases of gross negligence or willful misconduct.

Emergency Contact Name

Emergency Contact Phone

Select a Payment Option

One-Time Payment Option$750

Monthly Subscription - January Deposit (1 of 3 Payments) $270