Power of Produce Club Registration Form
POP Club is open to children entering Kindergarten through 5th grade.
Child's Name *
Your answer
Child's Current Grade *
Your answer
Does your child have any food allergies? If yes, please specify. *
Your answer
Parent or Guardian Name *
Your answer
Street Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Parent/Guardian email address *
Your answer
Parent/Guardian(s) phone number(s) *
Your answer
Submit
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