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Youth Activity Center Membership Registration Form​


Kidsz Paradise offers daily respite for youth k-12th grade. For $100/ week during the school year and $200/ week when school is out, a child has access to fun, games, planned trips and mentoring. Simply complete the below form and arrange an orientation day and time and we will do the rest!

Parent Name *

Parent Email Address*

Address*

Parent Phone*

Parent Work Phone *

Child's Name (First & Last) *

Child's Birthdate *

Child's Grade *

Select an option

Emergency Contact Other Than Parent *

Emergency Contact Phone *

Please List Any Current Medications for Child *

Please List Any Allergies/Asthma/Medical Conditions *

Please Check Box to Accept the Code of Conduct and Liability Waiver *

Kidsz Paradise Youth Command Center Rules

• Respect the staff, equipment, building, and peers.

• Sign in when you arrive and sign out when you leave.

• Once you sign out of KP you may not return for the day.

• School appropriate behavior is expected including appropriate language.

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