Name
*
Application Point of Contact
First Name
Last Name
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Contact Number
*
(###)
###
####
Parent/Guardian 1 Email:
*
Parent/Guardian 1 Phone Number:
*
Parent/Guardian 2 Full Name:
Parent/Guardian 2 Email:
Parent/Guardian 2 Phone Number:
Children’s Names, Ages, and Date of Birth:
*
School and Education Information
*
(Please provide information regarding the children’s current education setup)
Current School/Program (for each child):
Grade Level(s):
*
Does your child participate in any after-school programs, tutoring, or special educational programs? (Please specify)
*
Is your child currently homeschooled or enrolled in a traditional school? (Please specify)
*
Has your child ever been asked to leave a school institution?
*
If yes, please briefly explain the circumstances:
Sports and Physical Activities
*
Please share the children’s current involvement in sports or physical activities.
Are your children involved in any team or individual sports? (Please list each sport and age group)
Do they participate in any physical wellness programs such as yoga, dance, swimming, etc.?
Hobbies and Interests
*
(Share the children’s and parent’s personal interests to help us match them with like-minded families and activities)
Children’s Hobbies and Interests (e.g., arts, music, science, reading, technology):
Do your children have any special talents or skills you’d like to highlight?
Parent/Guardian Hobbies and Interests:
Club Membership
What interests you about joining Kidology's Society Club?
Are you looking for any specific activities, programs, or workshops for your family? (e.g., parenting workshops, fitness classes, educational seminars, etc.)
What services are you interested in?
Are there any specific goals or outcomes you hope to achieve through your membership with Kidology Social Club?
How did you hear about us?
Social Media
Friend or Family
Community Event
Emergency Contact Information
Full Name:
Relationship to Member:
Phone Number:
Acknowledgments & Agreement
By submitting this application, I agree to the following:
I understand that submitting this application does not guarantee membership to Kidology Social Club.
I agree to attend a mandatory virtual Family Orientation (Zoom Class) after approval.
I acknowledge that I will be contacted with further instructions upon approval.
