Registration form

Registration Form

* Indicates required field

Parent/Guardian's Name *

Additional emergency contact (Name) *

Parent's Phone Number *

Emergency Contact's Phone Number *

Parent Email *

Cadet's Name(s) *

Services Interested In: *

After School Weekends Private Party Camps

Date of Birth *

Important Medical Info: *

School and Grade *

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

Fall Hours:
2-6 Monday - Friday
2-6 Saturday-Sunday
(Before/After Hours by Reservation)

Email us at SpacestationProspect@gmail.com!

Registration Form

Location

Space Station Prospect1240 Prospect AvenueBrooklyn NY, 11218

Fall Hours:2-6 Monday - Friday2-6 Saturday-Sunday(Before/After Hours by Reservation)

Email us at SpacestationProspect@gmail.com!

Space Station Prospect
1240 Prospect Avenue
Brooklyn NY, 11218

Fall Hours:
2-6 Monday - Friday
2-6 Saturday-Sunday
(Before/After Hours by Reservation)