Kidz-Kazoom Early Learning Center List

KIDZ-KAZOOM
EMAIL BLAST

Thank you for choosing to sign up for our email blasts. You will receive one FREE Open Gym voucher valued at $10.00 when you confirm your email in the next step. Remember to go all the way to the bottom of this form and click on "Subscribe" when you're done.

You don't need to enter your child(ren)'s info but if you do we will do something special for their birthday.

We want you to know that we respect the privacy of our customers and in our 26 years in business we have never shared or sold our customer's information.

(Required fields are bold)

Your First and Last Name *
Address
City
State
Zip
Your Email Address *
Phone	() - (###) ### - ####
1st Child's First Name
1st Child's Date Of Birth	MM / DD / YYYY ( mm / dd / yyyy )
2nd Child's First Name
2nd Child's Date Of Birth	MM / DD / YYYY ( mm / dd / yyyy )
3rd Child's First Name
3rd Child's Date Of Birth	MM / DD / YYYY ( mm / dd / yyyy )
4th Child's First Name
4th Child's Date OF Birth	MM / DD / YYYY ( mm / dd / yyyy )
5th Child's First Name
5th Child's Date OF Birth	MM / DD / YYYY ( mm / dd / yyyy )
Daycare toured prospects to send special to	Daycare toured prospects to send special to Toured facility for Daycare
Booked a party with us	Booked a party with us Booked a party
Open Gym	Open Gym Came in for open gym