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Club
Enrollment Form
By law, a parent must enroll a family,
to provide permission for children
under age 12 to join the online
'clubhouse' and use the supervised
club chat facility.
Parents: 3 ways to enroll
1. at most KOA Campgrounds
2. enroll online right here - fill
in this form and provide a mastercard
or visa
3. enroll by phone: call 1 800
PAWPAL - 1 ( 1 800 728- 7251)
Enrollment Form
Yes, I wish to enroll my family
in the KOA Family FunBrain Club,
and provide up to three children
with access to online club facilities.
I have read and understand the club
rules (button below) and I agree
that my children will follow these
rules at all times. I understand
my children's real names, addresses
and personal data will never be
released by the club or provided
to online users.
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First
Name :
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Last
Name:
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Address:
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City:
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State:
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Zip
Code:
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Phone:
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Email:
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Names
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Please enter date in this format (mm/dd/yy)
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Child 1:
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Birthdate:
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Child 2:
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Birthdate:
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Child 3:
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Birthdate:
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| Once
you have enrolled, you will be mailed
your membership card, and your bonus
book: Freefall, A Sky-diving Sea Turtle,
by Lynn Hoopes. |
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have two payment options: |
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Please
charge my :
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Card
Number:
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Expiration
Date:
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Name
on Card:
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| By
submitting this registration, you
agree to accept the terms of the membership
agreement and the club rules. |
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