Kids Club Registration Form

Kids Club Registration Form

Sponsored by:
Child's Full Name*

First NameLast Name
2nd Child's Full Name

First NameLast Name
3rd Child's Full Name

First NameLast Name
Parent or Guardian Full Name*

First NameLast Name
Parent Phone Number*
Parent E-mail*
example@example.com
T-Shirt Size*

Youth Extra SmallYouth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult Medium
2nd T-Shirt Size

Youth Extra SmallYouth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult Medium
3rd T-Shirt Size

Youth Extra SmallYouth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult Medium
Birthday*

MonthDayYear
Date
2nd Child Birthday

MonthDayYear
Date
3rd Child Birthday

MonthDayYear
Date
Feedback or comments:

My Products*

Kids Club by Mr. Mikes

$40.00CAD Quantity

10 Flex Tickets

$100.00CAD Quantity

Total

$0.00CAD