Kids Club Registration Form

Kids Club Registration Form
Number of Memberships*
Child 1 Name*

First NameLast Name
Child 1 Birth Date*

MonthDayYear
Child 2 Name*

First NameLast Name
Child 2 Birth Date*

MonthDayYear
Child 3 Name*

First NameLast Name
Child 3 Birth Date*

MonthDayYear
Child 4 Name*

First NameLast Name
Child 4 Birth Date*

MonthDayYear
Parent or Guardian Information
You must be 18 years or older to complete and submit this form. The Fisher Cats will use the information provided to contact you regarding your Kids Club Membership.
Full Name*

PrefixFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
Phone Type*
E-mail*
Should be Empty: