BakersfieldCondors.com | Condors Kids Club Membership Form

# of Memberships*

Member 1 Name*

First Last

Member 1 Birthdate*

Member 2 Name*

First Last

Member 2 Birthdate*

Member 3 Name*

First Last

Member 3 Birthdate*

Member 4 Name*

First Last

Member 4 Birthdate*

Parent Name*

First Last

Parent Phone*

Parent Email*

Billing Address*

Street Address Address Line 2 City State ZIP Code

Kids Club Membership*

Price: $10.00

Total

$0.00

Payment Information*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

PLEASE CLICK THE SUBMIT BUTTON ONCE AND WAIT FOR CONFIRMATION, CLICKING A SECOND TIME WILL CHARGE YOUR CARD AGAIN.