Registration form

Registration Form

* Indicates required field

Parent/Guardian's Name *

Additional emergency contact (Name) *

Parent's Phone Number *

Emergency Contact's Phone Number *

Email *

Cadet's Name(s) *

Date of Birth *

Important Medical Info: *

Any Questions for us? *

Does Space Station Prospect have permission to take pictures and videos of your child to be used on social media pages and website as promotional material? *

Agree Disagree

Does your child have permission to walk themselves home? *

Yes No

Agree to our policies *

Agree

How did you hear about us ? *

Submit

Registration Form

Location

Space Station Prospect
1240 Prospect Avenue
Brooklyn NY, 11218

Hours:
3-5 T, W, Th
Sat-Sun by Appointment
(Before/After Hours by Reservation)

Contact Us

Registration Form

Location

Space Station Prospect1240 Prospect AvenueBrooklyn NY, 11218

Hours:3-5 T, W, ThSat-Sun by Appointment(Before/After Hours by Reservation)

Contact Us

Space Station Prospect
1240 Prospect Avenue
Brooklyn NY, 11218

Hours:
3-5 T, W, Th
Sat-Sun by Appointment
(Before/After Hours by Reservation)