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Lil' Kicks Registration Form
9:00AM – 9:35AM
18 mos – 2 1/2 years
3 in stock
Parent/Guardian Name
(Required)
Email
(Required)
Enter Email
Confirm Email
Phone Number
(Required)
Street Address
(Required)
Street Address
Address Line 2
City
Postal Code
Emergency Contact & Phone Number
(Required)
Lil Kicker's Information
(Required)
Birthday
(Required)
Month
1
2
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Day
1
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Year
2024
2023
2022
2021
2020
2019
2018
2017
Do you give permission for photos taken to be posted on our website (lilkickstbay.ca) and social media (Facebook)?
(Required)
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9:00AM - 9:35AM quantity
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