To help us serve you and your family better, please fill in this form to pre-register your child/children for participation in Kidz Club Tamarindo programs.  Thank you!

* indicates required field

Parent's First & Last Names*

Cell Phone #1*

Cell Phone #2

Child 1- Name & Age*

Child 2- Name & Age

Child 3- Name & Age

Email:*

Email 2:

Does your child/children have any medical conditions or Allergies we should be aware of?*

In the case of an emergency, if we cannot reach who, who is a second person we can try to contact? Name & Phone?*

CAPTCHA Code:*