The Mall at Robinson

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Kids Club

E-CLUBS: Kids Club

To obtain your membership card, please send an e-mail to RobinsonComments@forestcity.net with your child's name(s) after completing the attached application. Thank you!

Sign Me Up for Kids Club!
	* required field
Child's First Name*:
Child's Last Name*:
*Address:**

Apartment:
*City:**
*State:**
*Zip:**

Home Phone:
Work Phone:
*Parent's Email:**

Birth Date:	Month: Day: Year:
Gender:
Age Group:
Household Income:

Children 0-5:
Children 6-8:
Children 9-12:
Children 13-18:
Children 18+: