2021 Spring Kids Club – Gardening (K,1,2) 2021 Spring Kids Club - Gardening (K,1,2) Mondays from 3:00-4:00 pm on Zoom. Child's Name* First Last Child's Classroom Teacher or Class #*Child's Cohort*ABDParent/Guardian Name* First Last Parent/Guardian Email* Parent/Guardian Phone*Parent/Guardian #2 Name First Last Please only fill out if the second parent/guardian needs to be informed about Kid's Club updates.Parent/Guardian #2 Email Parent/Guardian #2 PhoneAddress Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please fill in your address if you allow Eman to deliver materials to your home.Is there anything we should know about your child?Winter 2021 - Kids Club - Gardening (K,1,2)*With Materials Fee ($265)You are being charged $65 for supplies for this class. Your materials will either be personally delivered to your home or will be available for pick up at PS 321! You will not receive all of your materials at the beginning of the cycle, but will have several drop off/pick up times throughout your 10 weeks together.Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name