Milwaukee Country Club

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MCC Kids 2010 Enrollment Form

Parent/Guardian Information

Mother's Info:

Name:
Address:
 
City:
 State:
 Zip:
Home Phone:
 Business Phone:
 Cell Phone:
Pager:
 Other:

Father's Info:

Name:
Address (if differs from above):
 
City:
 State:
 Zip:
Home Phone:
 Business Phone:
 Cell Phone:
Pager:
 Other:

Emergency Contact:

Name:
Address:
 
City:
State:
Zip:
Home Phone:
 Business Phone:
 Cell Phone:
Pager:
 Other:


After Entering the Parent/Guardian Information, Click 'Add Child' Below to Add the First Child to the Registration
After Saving the Information for the First Child - Repeat the Process for Each Additional Child





The Authorization to Treat a Minor form must be turned in on or before the child's first day. Please contact the Youth Directory with child's information changes, including change of address, phone, etc. All enrolled childrens' names, addresses, and phone numbers will be listed in a directory for 2010 MCC Kids participants unless otherwise advised.

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