Lego Club 2026 Fall 2026

Lego Club - Fall 2026

Kindergarten - Grade 2 Tuesday, October 6 - November 24, 4-5pm
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Allergies
Parent/Guardian Name
Mobile Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Work Number
Format: (000) 000-0000.
Email
Photo Release Permission: This will allow staff take photos of the children during the program for promotion on our website and social media.
Signature
Should be Empty:

Lego Club - Fall 2026