Club Registration Form
Please fill out your details and select the clubs you're interested in.
Parent/Guardian Information
Parent First Name
*
Parent Last Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Child Information
Child’s Full Name
*
First Name
Last Name
Child’s Age
*
Club Selection
*
Crochet Club
Sports & Games Club
Baking Club
Community Club
Program Details
Clubs run September through December
Meetups are bi-weekly
Families may sign up for one club or multiple clubs
Each club is $10 per month
Emergency Contact Name & Number
*
Allergies or Important Information
Submit Registration
Should be Empty: