Become a Co-op Kid
Fill out the form to become a Co-op Kid! Co-op Kids will receive a special membership card in the mail, and have access to special contests, treats and events.*

Every month we will pick one lucky winner to enjoy a Birthday Party Pack! We hope you become a part of our Co-op Kids Club.

*Must be age 12 and under to be a part of the Co-op Kid Club.
Child's First Name *
Child's Last Name *
Parent/Guardian's Name *
Street/Mailing Address *
Town *
Postal Code *
Phone number *
E-mail *
Birthdate *
Parents Co-op # (optional)
Questions and comments
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