Kids Klub
Family E-Mail Address:
(Child #1) First, Last Name:
(Child #1) Birthday (Month and Year)
(Child #2) First, Last Name:
(Child #2) Birthday (Month and Year)
(Child #3) First, Last Name:
(Child #3) Birthday (Month and Year)
(Child #4) First, Last Name:
(Child #4) Birthday (Month and Year)
Street Address:
Town:
Zip:
State:
Can we notify you when Santa's Wish List Mailbox arrives each December?	Yes, please!No, Thank You!