BAMA Kids, Inc.

(Better Activities Makes All-Around Kids)

Application for Membership

By submitting this application, you agree to participate in activities that are sponsored by BAMA Kids, Inc. 
Participant Name: *
E-mail Address: *
Mailing Address:
Zip Code:
Applicants Age *
Birth Date * Select Date
Sex *
Grade *
Teacher Name *
Ethnicity *
Parent or Guardian *
Day Time Phone
Evening Phone
In case of an emergency, who can we contact? *
Emergency Phone Number
Physical Limitations or special needs of applicant
Mother Highest Grade Completed
Father Highest Grade Completed
Family Composition
Family Transportion
Attach a File:

Verification Code:
Enter Verification Code: *

* Required
 *All confidential family specific information gathered during participation will be kept confidential.