Fields marked with * are mandatory
General

Member First Name *
*Please enter valid Member First Name
Member Last Name *
*Please enter valid Member Last Name
Date of Birth
*Please enter valid Date of Birth
Member Email Address
*Please enter valid Member Email Address
T-Shirt Size
*Please enter valid T-Shirt Size
Expected High School Graduation Year
*Please enter valid Expected High School Graduation Year
Favorite Sport
*Please enter valid Favorite Sport
Parent/Guardian First Name
*Please enter valid Parent/Guardian First Name
Parent/Guardian Last Name
*Please enter valid Parent/Guardian Last Name
Parent/Guardian Address
*Please enter valid Parent/Guardian Address
Parent/Guardian City
*Please enter valid Parent/Guardian City
Parent/Guardian State
*Please enter valid Parent/Guardian State
Parent/Guardian Zip
*Please enter valid Parent/Guardian Zip
Parent/Guardian Phone Number
*Please enter valid Parent/Guardian Phone Number
Parent/Guardian Email Address
*Please enter valid Parent/Guardian Email Address
How did you hear about Kids Club?
*Please enter valid How did you hear about Kids Club?
If Other
*Please enter valid If Other
Photo Release

*Please enter valid Photo Release
See photo disclaimer on the previous page
*Please enter valid See photo disclaimer on the previous page