Kids Club Registration

Form must be filled out completely to be eligible for entry.

Parent Name

Street Address

City, State, Zip

Phone Number

E-mail

Child 1 Name

Birthday

Shirt Size

Child 2 Name (Optional)

Birthday

Shirt Size

Child 3 Name (Optional)

Birthday

Shirt Size

Thank you for filling out your registration. Your membership is not complete until you are contacted by a member of the Providence College Friars Marketing Staff to accept your payment.

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