Parent Name * First Name Last Name Student Name * First Name Last Name Age 5 6 7 8 9 10 11 12 13 14 15 16 17 Grade * Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 Phone * (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Wednesday Noblesville classes * Please select all Fall and Spring Noblesville classes you are registering for Writing Genres (grades 5+) 12pm-1pm Sept 11-Oct 23 $70 Exploring theater (grades 5+) 12pm-1pm Dec 4-Jan 22 $50 STEM Robotics, drones, game design & more (grades 5+) 1pm-3pm Sept 11-Jan 22 $240 JA BizTown + core subjects games (grades 4-6) 12pm-3pm Jan 29-Mar26 $240 Core subjects through games (grades K-1) 9am-10am Sept 11-Mar 26 $160 STEM Engineering the 6 simple machines + construction techniques (grades 2-4) 10am-12pm Sept 11-Oct. 23 $140 World geography + core subjects games (grades 2-4) 10am-12pm Dec 4-Mar26 $260 No thank you. Thursday morning Lebanon classes * Please select all Fall and Spring Lebanon classes you are registering for STEM Engineering the 6 simple machines (grades 2-4) 9am-10am Sept 11-Oct. 23 $70 JA Intro to Money (grades K-2) 9am-10am Jan 29-Mar 12 $70 Writing Genres (grades 5+) 9am-10am Dec 4-Jan 22 $50 STEM Robotics, drones, game design & more (grades 5+) 10am-12pm Sept 11-Jan 22 $240 JA BizTown (grades 4-6) 10am-12pm Jan 29-Mar26 $140 No thank you. Thursday afternoon Westfield classes * Please select all Fall and Spring Westfield Washington Public Library classes you are registering for Intro Geography (grades 3+) 1:30-3:30pm Sept 11-Oct 23 $140 Advanced Geography/global cooking (grades 3+) 1:30-3:30pm Dec 4-Jan 22 $100 JA BizTown (grades 4-6) 1:30-3:30pm Jan 29-Mar 26 $140 No thank you. Additional info Please let me know if your student has any special learning needs or severe allergies. Radio * I would like to stay up to date on all classes and events with The Academy of Chaos Yes No Thank you for registering! You will receive an email soon regarding payment. Classes can be paid via Zelle or check prior to classes starting.