ACME Bowling, Billiards and Events - Kids Club Sign Up Form

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Kids Club

Parent/Guardian Information - Fields marked with a * are required.

Child #1 - Fields marked with a * are required.

* First Name:		Middle Intial:		* Last Name:
Birth Date:	/ /			boygirl

Child #2 - Fields marked with a * are required.

* First Name:		Middle Intial:		* Last Name:
Birth Date:	/ /			boygirl

Child #3 - - Fields marked with a * are required.

* First Name:		Middle Intial:		* Last Name:
Birth Date:	/ /			boygirl

Child #4 - Fields marked with a * are required.

* First Name:		Middle Intial:		* Last Name:
Birth Date:	/ /			boygirl

Child #5 - Fields marked with a * are required.

* First Name:		Middle Intial:		* Last Name:
Birth Date:	/ /			boygirl

Digital Signature - Fields marked with a * are required.

By entering your name and pressing "Join," you are verifying to ACME Bowl that you are (1) the parent or legal guardian of the child(ren) listed above, (2) 18 years of age or older; and (3) consenting to register the child(ren) listed above into ACME Bowl's Kid's Club."
* First Name:		* Last Name:
Date:	Now
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