Kids Club Membership Form

Your gift is tax deductible and goes to support children's programming on OPT!

Pick a membership level:




Special Benefits of Kids Club

Each child on your membership will receive the following:

  • Personalized welcome letter
  • FREE admission to Seuss Science Day
  • Name aired on television during entire month of child's birthday
  • Special mailings throughout the year


Child(ren)'s Name and Birthday

Click "Add Kid" for each child you wish to enroll (limit 3 children, age 12 or under).

Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Kid First and Last Name
Kid Birthdate
Drop Down Calendar

Billing Information

Please use the billing address associated with your credit or debit card. (If your mailing address differs from your billing address, let us know in the "Comments" box below.)
First and Last Name
Billing Address
City
State
Zip Code
Phone Number
Email Address
Comments:

Payment Authorization

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