Coast Kids Event Sign-Up Form

Thank you for your interest in our Coast Kids Events. Please list the members' names that will be attending. If you plan to bring extra children who are not members, payments can be made directly to the adult in charge at the event. Event costs vary, please see the flyer for details. Or, sign-up to become a member now.

Event Name (choose as many as you want) *

Visit the Alpaca Farm - October 29

Winter Adaptations - November 19

Christmas Parade Workshop - November 19

Build a Bird Feeder - December 10

How did you hear about our event?

Adults First Name *

Adults Last Name *

How many adults: *

Primary/Best Phone Number *

Secondary Phone Number

Email Address *

Children's Names who are members

Children's Names who are not members

When you are finished, click on the Submit button. You will be sent a confirmation e-mail.

ACT Website	ACT Email
ACT Printed Newsletter	Facebook
Other (tell us) Other (tell us)