Registration


Science Cosmos (Loudoun) Registration for Classes and Camps

*   denotes required fields

Referral Information
Family Information
Where do you live?
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info

The Early Bird Discount of $25/wk for EVERY week will be applied at the backend. The prices on the website show regular prices (BEFORE the discount). Discount ends Apr 30th. For 3day and 4day camps, send an email to ashburn@sciencecosmos.com.

Enroll in Classes
Select Class
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Please fill out ONE of the following Payment Methods
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)