Kids’ Club Centennial Celebration Questionnaire Kids’ Club Centennial Celebration Your Name * Your Name First First Last Last Your Email (in case we have any questions) Your Phone Number Child’s First Name Child’s Last Name Your Child’s Age * 5 – 7 8- 10 11- 12 Any Allergies or Dietary Restrictions? NoYes Please describe: Child’s First Name (second participant) Child’s Last Name (second participant) Your Child’s Age 5 – 7 8- 10 11- 12 Any Allergies or Dietary Restrictions? NoYes Please describe: Is there anything else you’d like to share with us to improve your child’s experience? Submit If you are human, leave this field blank.
