Welcome to KIDZONE CLUBS ONLINE REGISTRATION!

Cost is $70 per child. Thank you!

Parent 1 Name *
Parent 1 Name
Parent 2 Name
Parent 2 Name
Address
Address
Cell Phone *
Cell Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
Child #1 *
Child #1
Birthdate Child 1 *
Birthdate Child 1
Child #2
Child #2
Birthdate Child 2
Birthdate Child 2
Child #3
Child #3
Birthdate Child 3
Birthdate Child 3
Child #4
Child #4
Birthdate Child 4
Birthdate Child 4
KidZone Clubs starts September 11, 2019 – your child will receive a postcard a week before. “It takes a village” so KidZone Clubs parents/families are REQUIRED to help out during the year by:
1. Providing SNACKS for your child(ren)'s classroom snack 2-4 times a year.
2. Helping in class (Skippers-often; Scooters and Voyagers (2-4x/yr); Pathfinders/Trailblazers (2x/yr).
3. Marking at least 3 ADDITIONAL help areas listed below.
DAYS/TIMES BEST FOR ME TO HELP ARE: (Mark at least ONE) *
SPECIAL SKILLS I CAN SHARE: (Mark ALL that apply) *
I AM INTERESTED IN HELPING OUT AT TRUNK-OR-TREAT: (Mark at least ONE) *
WEDNESDAY, OCTOBER 30TH PREP IS FROM 5-6:30 P.M., IT RUNS FROM 6-7:30 P.M.
I CAN HELP IN THE FOLLOWING AREAS: (Mark at least One) *
NOTICE-FILMING/PHOTOGRAPHY: KidZone Clubs will be filming/photographing at this location through the 2019-2020 year. By attending KidZone Clubs at VUMC, you irrevocably consent to and authorize Kidzone Clubs and VUMC to photograph and make sound recordings of your child and use such photographs and recordings throughout the universe, for any purpose whatsoever in all known and hereafter existing medium and in any language in perpetuity. All such photographs and sound recordings will be the sole property of KidZone Clubs at VUMC. *
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