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First Name

Last Name

We’ll send each child a special gift for their birthday! If you don't have any children you'd like to add, just hit submit again at the bottom of this form.

Do you have kids you'd like to register for our Birthday Club?

Child 1 First Name

Child 1 Last Name

Child 1 Birthday

Child 2 First Name

Child 2 Last Name

Child 2 Birthday

Child 3 First Name

Child 3 Last Name

Child 3 Birthday

Child 4 First Name

Child 4 Last Name

Child 4 Birthday

Child 5 First Name

Child 5 Last Name

Child 5 Birthday

Child 6 First Name

Child 6 Last Name

Child 6 Birthday