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University Mall Kid's Club

I give my child permission to join University Mall's Kid's Club. I understand that my child/I will receive periodic emails from University Mall with information about new events and activities through the mail. All information given is not to be distributed to any other sources. University Mall keeps the privacy of all information. My authorization below indicates I agree to the terms.

*Parent First Name
*Parent Last Name
*Parent's E-mail
Your Child(ren)'s First Name and Birth Date*
Must be 13 years or under to enroll for the the Kids Club
First and Last Name Month Day Year
* Child 1: 
Child 2: 
Child 3: 
Child 4: 
Child 5: 
How did you hear about the Kids Club?


 I certify that I am over the age of 18. I have read University Mall (NC)'s Privacy Policy and agree to the terms of the policy and terms of use statement.

 I confirm that I am the parent or legal guardian of the child named above.

 I consent to my child receiving information on the Kids Club Program at the address listed above.



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