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Kids Corner Membership Form

Please fill out this form once for each child.

All fields marked with * are required.

First Name of TMC Employee (Parent of Child) *

Last Name of TMC Employee (Parent of Child) *

Employee ID# *

First Name of Child *

Last Name of Child *

Mailing Address *

City *

State *

Zip Code *

Email *

Birthday Month *

Day of Birthday *

Year of Birth *