KAC Juvenile Membership Waiting List - Thursdays

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KAC Juvenile Membership Waiting List - Thursdays

Applicable for ages >=5 and < 18

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* Indicates required question

Childs First Name *

Your answer

Childs Surname *

Your answer

Childs Date of Birth *

MM

/

DD

/

YYYY

Sibling in the Club? *

Yes

No

Parent/Guardian First Name *

Your answer

Parent/Guardian Surname
*

Your answer

Parent/Guardian Contact Number
*

Your answer

Parent/Guardian email address
*

Your answer

Parent/Guardian Existing Member?
*

Yes

No

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