1/13 Goolsby Session 3: Smart Cookie Registration

Student Name

First NameLast Name

Grade

Teacher

Discovery Lab (STEM) Wed.

Register for Session 3: 75 minutes: Jan 13, Jan 20, Jan 27, Feb 3, Feb 10, Feb 17, with the final showcase February 24, 2027

Includes all required materials

$225.00 Quantity

Story Lab (Literacy) Mon.

Register for Session 3: 75 minutes: Jan 11, Jan 25, Feb 1, Feb 8, Feb 22, Mar 1, with the final showcase March 8, 2027.

Includes all required materials

$225.00 Quantity

Magic Potion Cup

Collectible Smart Cookie Magic Potion Tumbler—just add water to make Enchanted Water!” ✨🧪

Shatter proof 24 oz cup with straw and lid

Free Type

Total

Card Option above or check the Zelle option below

Parent Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent Email Address

example@example.com

Payment is due to reserve your spot. Please review your selections before submitting.

Signature Date

Date

Parent/Guardian Signature

Students that are not following rules and respecting others will forfeit their spot with no refund

Parent Name

First NameLast Name

Goolsby Elementary