Kamfix Club Registration Form

Kamfix Club Registration Form

Toastmasters International Charter No. GC-28676439 First LEGO League Team No.33078
Member Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
How did you hear about us?*
Please Specify*
Parent/Gaudian/Emergency Contact Info:
Toastmasters Gavel Club (Public Speaking & Leadership)FIRST LEGO League RoboticsMath League (Competition & Tutoring)STEM Innovation & Coding Summer Camp
March BreakJuly Summer CampAug Summer Camp
By signing this form, I confirm that:I have read, understood, and agreed to the terms of this waiver.I consent to my child’s participation in Kamflix Club activities.I agree to comply with all club policies and safety guidelines.
Consent & Signature

Rows Full Name Signature

Parent/Gaudian
Should be Empty:

Rows	Full Name	Signature
Parent/Gaudian