K-Kids Application to Join
Please fill out one application per child to officially join K-Kids of Greater Point Pleasant.
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Email *
Parent/guardian name (put your email above)
 *
Child’s name 
 *
Child’s birthday  *
Child’s school (or note if homeschooled)
*
Parent/Guardian name
*
Mailing address
 *
Parent/Guardian email address 
 *
Parent/Guardian phone number we can text
*
Emergency contact person and phone number
*

Does your child have any allergies we should know about? If yes, please list: 

 *

Does your child have any special needs you’d like us to know about it? If yes, list: 

 *

Would you like to be added to the Brielle Library newsletter? 

 *
Required

Do you give the Kiwanis Club of Point Pleasant permission to use your child’s photo in marketing materials?

 *
Required

If yes, can we share their name/town on marketing materials: 

 *
Required

Are you interested in becoming a parent Club Advisor to help organize service projects and meeting activities? (We request that you commit at least one year to the role. The Kiwanis Club will reimburse you for your $35 background check after 6 months of service.) 

 *
Required
Any other aspect of running the club that you’d like to help with/skill you’d like to contribute if not a Club Advisor? (You’re artistic, you can teach a skill or run an activity, etc.) Yes / No If yes, please share: 
 *
Do you have any community connections that would be able to support the students (i.e. local business owner, connection to an organization, etc.) 
 *
Were you in the Kiwanis family before (Key Club, Circle K, etc.) If yes, what branch?
 *
Please write your name below as a digital signature. *
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