Youth club registration
Club Time: Wednesdays - June 24th to August 26th, 2026
Address: 310 North K Street Tacoma, WA 98403
Contact us at (253) 257-8067 or Poweroftwoyouth@gmail.com
One kids per form.
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Kid Name  *
Please provide the child's date of birth: *
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Which age group does the registered child fall into? *
Required
Parent or guardian Name  *
Please provide the name and relationship of an alternate authorized person (other than the parent/guardian listed) who may pick up the child. If none leave blank.
Email *
Emergency contact and phone -email address *
Which of the following activities is the child most interested in? (Please select all that apply)
How did you hear about the Youth Club?
Allergies *
Required
Please provide any specific health concerns or medications we should be aware of (in addition to allergies listed):
I understand that class is every Wednesday and drop off time is from 9 am to 1 pm pick up.  *
Required
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