2026 "YOUTH KLUB" Summer Programs: Registration & Payments
Thank You for considering us for your summer programs, we look forward to providing an AMAZING Summer Experience for your children. You can use this form to register your child and also make payments. Your spot is secured once the "membership fee" is paid, please be sure to pay that when you register. You will receive a confirmation within 48 hours. #DaddyBackwards
Parent/Guardian Name:
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First Name
Last Name
Parent/Guardian Email Address:
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example@example.com
Parent/Guardian Phone Number:
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-
Area Code
Phone Number
Child #1 Name:
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First Name
Last Name
Child #1 Birth Date:
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Month
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Day
Year
Date
Child #1 Gender:
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Male
Female
This form will submit Registration and/or Payments for only (1) One Child. If you need to register multiple Children, please submit this form 1st and then do forms for additional children.
Payment Options:
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0 Membership Fee: Summer 2026 at The Youth Klub
$50.00
$
50.00
One Time Membership Fee for the Summer 2026 Programs at The Youth Klub. This is a non-refundable membership fee that comes with benefits of being a member of the Klub. This specific membership covers Members from 6/1/26 - 8/16/26
1 9am - 10am: The ART Klub
$12.50
$
12.50
The Art Klub for Youth Ages 7-12. This payment covers 6/22 - 6/29/26. All Sales are FINAL and no refunds are allowed. Please be sure that the age range for each program is what you are looking for.
2 10am - 11am: The C.H.A.M.P.I.O.N Klub
$12.50
$
12.50
The C.H.A.M.P.I.O.N Klub for Youth Ages 7-12. This Klubs focus in on Social Emotional Learning in a Group Setting. This payment covers 6/22 - 6/29/26. All Sales are FINAL and no refunds are allowed. Please be sure that the age range for each program is what you are looking for.
3 11am - 12:30pm: The Music Klub
$12.50
$
12.50
The Music Klub for Youth Ages 7-12. This payment covers 6/22 - 6/29/26. All Sales are FINAL and no refunds are allowed. Please be sure that the age range for each program is what you are looking for.
4 1pm - 3pm: The PLAYTIME Klub
$12.50
$
12.50
The PLAYTIME Klub for Youth Ages 7-12. This payment covers 6/22 - 6/29/26. All Sales are FINAL and no refunds are allowed. Please be sure that the age range for each program is what you are looking for.
5 3pm - 4pm: The Kidz & Kraftz Klub
$12.50
$
12.50
The Kidz & Kraftz Klub for Youth Ages 7-12. This payment covers 6/22 - 6/29/26. All Sales are FINAL and no refunds are allowed. Please be sure that the age range for each program is what you are looking for.
6 4pm - 5pm: The Games We Play Klub
$12.50
$
12.50
The Games We Play Klub for Youth Ages 7-12. This payment covers 6/22 - 6/29/26. All Sales are FINAL and no refunds are allowed. Please be sure that the age range for each program is what you are looking for.
Subtotal
$0.00
$
0.00
Tax
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Total
$0.00
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Payment Information
All payments are Securely Processed through "SQUARE", Daddy Backwards Entertainment does not see or receive your payment information. You will be emailed a link to your receipt. If you have any questions, please feel free to contact us: info@DaddyBackwardsEntertainment.com
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