Kids Care Club Parent Signup Sheet 2019-2020

First Name *

Last Name *

E-mail *

Address

City

State ALAKASAZARCACOCTDEDCFLFMGAGUHIIDILINIAKSKYLAMEMDMAMHMIMNMPMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRPWRISCSDTNTXUTVTVAVIWAWVWIWY

Zip

Answer the following: 7 + 1 = __ *

Remember me (saves your information for future signup forms during this visit on our site)

or « go back to the Sign-Up Sheet

*= required