Playhouse Membership Registration Form

Playhouse Membership Registration

Complete the form below to sign up for our membership service.
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Sibling 2

First NameLast Name
Birth Date

MonthDayYear
Sibling 3

First NameLast Name
Birth Date

MonthDayYear
Sibling 4

First NameLast Name
Birth Date

MonthDayYear
Parent Name *

First NameLast Name
Parent 2 Name

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Where did you hear about us?

A Friend or colleaugeGoogleFacebookInstagramOther
Preferred way to contact

PhoneEmailAny
Membership Rules
1. Children crawlers and above require paid admission/membership

2. Memberships are renewed on a rolling basis. This means if your membership begins on the 17th of the month your card will be automatically charged the 17th of the following month.

2. It is expected that members will follow all posted rules of SusieDoos Playhouse. We reserve the right to cancel any membership at any time for failure to adhere to Playhouse rules.

3. Memberships auto-renew from month to month and is not refundable. In the unlikely event that you want to cancel your membership we only require a 7 day notice. If you cancel mid-month your membership will continue until your current 30 day membership is complete. (no pro-rating)
I have read, understood, and accepted the rules for membership.
Signature

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My Subscriptions*

1 Child Membership

$60.00 for each month

2 Child Membership

Free for the first 7 Day then, $80.00 for each month

3 Child Membership

Free for the first 7 Day then, $100.00 for each month

4 Child Membership

Free for the first 7 Day then, $120.00 for each month

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Subtotal

$0.00

Tax

$0.00

Playhouse Membership Registration