Pro Kids Membership Enrollment/Renewal Form

All participants must be a minimum of 7 years old at the time of registration

Instructions for Completing the Membership Form

Select Your Home Campus – Choose the campus where your child will attend Pro Kids activities.
Choose a Payment Option – Choose your payment option (see below)
Complete a Form for Each Child – Fill out a separate form for every child you are registering.
Add Additional Participants – After completing one child’s form, click “Add to Cart and Continue Shopping” to register another child.
Check Out – Once all participants are added to your cart, click “Checkout” at the top of the page or in the main menu under “Cart”. Enter your billing and payment details and submit your order to finalize your membership registration.

Payment Options Information

One-Time Payment: Pay the full amount now for a one-year membership.
Quarterly Payment: Pay every three months for one year.
Monthly Payment: Pay every month for one year.

Home Campus
Payment Options	Clear

Child Participant Information

Please enter the information for the child participant. Your child participant must be 7-17 years old at the time of registration. *18 year olds accepted if still in High School.

Child Participant Name*

First Last

Participant Birthdate*

Participant must be 7 -17 years of age

Participant's Age

Participant Gender*

Participant Ethnicity*

Sorry, you're child is not old enough to participate at Pro Kids.

All participants must be 7-17 years old.

Sorry, this participant is too old to participate at Pro Kids.

All participants must be 7-17 years old.

Is this a returning Pro Kids member?*

Yes

Pro Kids ID Number

Child's School Information

If you do not see your child's school, please select "Other" at the bottom of the School list and type the school name in the provided box.

Participant's School*

Other School Name*

Participant's Grade*

2024-2025 School Year

Child's Language Information

Languages are in Alphabetical order (A-Z)

Participant's Primary Language

Primary Language Fluency

Participant's Secondary Language

Secondary Language Fluency

Emergency Contact Information

Each child should have two distinct emergency contacts for redundancy and safety measures. Please do not list yourself twice.

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Emergency Contact #1 Full Name*

First Last

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Emergency Contact #2 Full Name*

First Last

Emergency Contact #1 (First Name)*

First Name

Emergency Contact #1 (Last Name)*

Last Name

Em. Contact #1 Phone*

Em. Contact #1 Relationship to Child*

Emergency Contact #2 (First Name)*

First Name

Emergency Contact #2 (Last Name)*

Last Name

Em. Contact #2 Phone*

Em. Contact #2 Relationship to Child*

Agreements & Waivers

Please read through each agreement carefully.

Media Consent Release*

I hereby give Pro Kids and participating agencies permission to use film video tape and/or photographs of the above mentioned minor for lawful promotional or informational purposes.

Yes

Household Financial Information

As a non-profit, we use anonymous income information to request and apply for funding. This information will remain confidential and will not be tied to your account in any way.

Family Size*

Household Income*

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Submission Date*

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Expiration Date*