BakersfieldCondors.com | Condors Kids Club Membership Form

# of Memberships*
Member 1 Name*
First Last
Member 1 Birthdate*
Date Format: MM slash DD slash YYYY
Member 2 Name*
First Last
Member 2 Birthdate*
Date Format: MM slash DD slash YYYY
Member 3 Name*
First Last
Member 3 Birthdate*
Date Format: MM slash DD slash YYYY
Member 4 Name*
First Last
Member 4 Birthdate*
Date Format: MM slash DD slash YYYY
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.