Kids Club Registration Form
Sponsored by:
Child's Full Name
*
First Name
Last Name
2nd Child's Full Name
First Name
Last Name
3rd Child's Full Name
First Name
Last Name
Parent or Guardian Full Name
*
First Name
Last Name
Parent Phone Number
*
Format: (000) 000-0000.
Parent E-mail
*
example@example.com
T-Shirt Size
*
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
2nd T-Shirt Size
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
3rd T-Shirt Size
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth Extra Large
Adult Small
Adult Medium
Birthday
*
-
Month
-
Day
Year
Date
2nd Child Birthday
-
Month
-
Day
Year
Date
3rd Child Birthday
-
Month
-
Day
Year
Date
Feedback or comments:
My Products
*
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Kids Club by Mr. Mikes
$40.00 CAD
$
40.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
10 Flex Tickets
$100.00 CAD
$
100.00
CAD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Submit
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