Kool Kidz Read New Member Application

Parent/Guardian Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Child's Name*

First NameLast Name

Child's Age*

Child's Current Grade*

Child's Reading Level*

Membership Type*

Reading Preferences - What types of books interest your child? (Check all that apply)*

Picture BooksChapter BooksGraphic Novels

Would your child like to participate in our virtual or in-person read-aloud sessions?*

VirtualIn-Person

Would your child like to submit book reviews or creative projects to be featured on our website or social media?*

YesNo

Would you like to volunteer or contribute to Kool Kidz Read programs/events?*

YesNo

Photo & Video Consent: Do you give permission for Kool Kidz Read to share photos/videos of your child engaging in club activities on our website/social media?*

YesNo

Signature*

My Products*

Kool Kidz Read Monthly Membership

✅ Monthly Membership for one – $25/month (Non-refundable) Join Kool Kidz Read for $25/month! Payments auto-renew, and a 45-day cancellation notice is required via hello@koolkidzread.com.

$25.00 Quantity

Kool Kidz Read Annual Membership

✅ Annual Membership for one – $250/year (Non-refundable) Enjoy a full year of Kool Kidz Read for $250! One-time payment, no refunds. Questions? Email hello@koolkidzread.com.

$250.00 Quantity

Enter coupon

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Kool Kidz Read Membership Application

Welcome to the KOOLEST Book Club!

Membership Information

Permissions & Agreement

Acknowledgment

Payment Methods