Play Club Spring Sign Up Form
Play Club is a large space in Gowanus with plenty of loose parts and freedom for children to create, destroy, explore, and express. We are dedicated to child-directed play and exploration, giving children an opportunity to take charge of their own time and play.

Spring 2022
$500 for 8 Tuesdays (10% off before February 1st)
Please contact us about opportunities for sliding scale.

Feb 15, 28
(Skip Feb 22)
March 7, 14, 21, 28
April 4, 11

Please contact us at bkplayclub@gmail.com if you have any questions about the form or the program at large.

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What is the name of the child *
Child's birth date *
MM
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DD
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YYYY
School the child attends *
Grade *
Parent/Guardian Information
What is the name of the parent/guardian *
Phone number of the parent/guardian *
Email *
Address *
Emergency Contact Information
Name *
Phone number *
Email *
Other information
Please list all allergies and any other health/non-health related information you think we should know about your child.
Thank you for signing up! You will hear from us shortly.
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