2014 Super Science Saturday Registration Form

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The spooks and chills of the
Halloween season have captivated
people all around the world since
the start. Every year, dozens of
movies come out with the sole
purpose of scaring the audience in
true Halloween spirit: ghost,
vampires, creepy music, oozing
slime, and so much more. These
scares aren’t powered by magic
though; rather, men and women
with strong science backgrounds
and the drive to terrify them!
BCHS Super Saturday
October 18, 2014
Registration Form
Now it’s your chance to spook!
Student Name ______________________________________
Grade__________ School
Students will participate in 4 halfhour sessions including, but not
limited to, dissections, chemical
demonstrations, skeletal analysis,
and sound activities.
Street Address ______________________________________
City __________________________ State _____Zip________
Phone Number ______________________________________
Email Address
Parent/ Guardian’s Name _____________________________
Cell/ Work Phone Number ____________________________
Referred by Super Saturday Alumni
T Shirt Size: (circle one)
Youth: M L
Adult: S
M
L
XL
In case of an emergency, I give permission for my child to receive medical treatment. In case of such an
emergency, please contact:
Emergency Contact Name ______________________________Relation to student ______________________
Phone Number ________________________________
Parent/Guardian Signature
Allergies or Medical Conditions (Indicate all food allergies):
Your signature on this form also authorizes BCHS Science club to photograph your child during the above event. Photographs may be
used in school &/or community publications.
Dear Teachers, Parents, and Guardians:
Butler County High School Science Club student and teacher members will be hosting a Spring Super Saturday
on October 18, 2014, from 8:30am to 2:00pm with a Halloween theme. Students, a.k.a. investigators will
participate in a variety of biology, chemistry, physics, and earth science events to help solve the case.
This day camp is for students in grades 4 through 8. Students participating in Super Saturday will not only
make items dealing with science, they will also receive snacks, lunch, and a T-shirt. The price of the day camp
is $20 for the first child with the cost of each additional child of only $10.
If you would like your child to participate, please complete the attached registration and send a check payable to
BCHS Science Club with “Super Saturday” in the memo. You may drop this off at the high school or mail this
to BCHS, attn: Jennifer Davis, 1147 South Main Street, Morgantown, KY 42261.
The absolute last day to register for Super Saturday is October 14th.
Once registration is complete, students who have registered will receive a detailed letter on the specifics of the
day, drop-off and pick-up arrangements, and other logistics. Please complete the registration form completely,
including zip code, so we can make sure you get all of the details!
We are hoping to offer scholarships to students in need of financial assistance. If you have a business that
would like to make a donation for student scholarships, please contact me and we will get their name on our tshirts!
If you have any questions or concerns about anything pertaining to Super Saturday, please email
jennifer.davis@butler.kyschools.us or call Jennifer Davis at 270-526-2204. Thanks for your help and we look
forward to seeing you at Super Saturday!
Robert Ayer, Jennifer Davis,
Ashley Johnson, & Shilo Ringl
BCHS Science Department
and Science Club Sponsors
Thank you to our sponsors
Butler County Youth Service Center
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