Kids Page

Fairfield Kids Club Registration Form

Child's First and Last Name:

Parent First and Last Name:

Street Address:

City:

School:

Email Address*:

I was referred to the Fairfield University Kids Page by:

Member's Name:

Member's Membership Number:

*Valid email address must be provided or membership is void. By providing an email address, I agree to receive information regarding special offers, promotions, and information regarding Fairfield University athletics. Your email address will not be distributed outside of Fairfield University.