2021-2022 Reservation Form
Please complete the form below and click submit.
Parent/Guardian Information
First Name
*
Last Name
*
Relationship
*
- Select One -
Mother
Father
Grandmother
Grandfather
Guardian
Joint Custody
Other
Address
*
Email
*
Phone
*
Child Information
First Name
*
Last Name
*
Date of Birth
*
Req. Start Date
*
Location
Bright Minds STEAM Studio
11343 N Sam Houston Pky E
Humble, TX
77396
832-409-4155
Secure Payment
2021-2022 Reservation Form Fee
: Select a location above
Name On Card
Credit Card
Submit
2021-2022 Reservation Form Successful
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