Dunk'n Kids Club Registration Form
This registration form is to sign your child up for the Dunk'n Kids Club through May 2019.

Please Make Checks Payable to: Jacksonville University

Mailing Address:
Jacksonville Athletics
Attn: Kids Club
2800 University Blvd. N.
Jacksonville, Florida 32211


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Child's Name (First) *
Child's Name (Last)
Child's Birthday *
MM
/
DD
/
YYYY
Child's Age *
Child's Grade (Kid's Club only for participants in 8th Grade and Under) *
Parent's Name *
Email Address (Will be used for Kids Club Information Updates) *
Phone Number *
Full Mailing Address (Address, City, State, Zip code) *
Child's T-Shirt Size *
I, being the parent/guardian of above child, consent that the photographs taken at Dunk'n Kids Club events in which my child appears may be used in any Jacksonville Athletics print or electronic media and will become Jacksonville University property. *
Electronic Signature of Parent/Guardian *
How will you be submitting payment *
Pickup for Kids Club Packages Will Begin on Saturday on 9/1/2018 or mailed on Monday 9/17/2018
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