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Join our Birthday Club!
What is your child's first and last name?
 

Child's Birth date
 

If you have a second child to enroll, what is their first and last name?
 

Child #2 Birth date
 

If you have a third child to enroll in our birthday club, what is their first and last name?
 

Child #3 Birth date
 

If we need to reach you by phone, do you have a preferred phone number?
 

* City
 

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* Zip Code
 

Please use this section for any special notes
 

* Can you tell us how you first heard of us?
 
Referral
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* Have you ever hosted or attended a group event at our facility before?
 

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