Athletics
Chippewa Kids Club Registration Form
Thank you for your interest in the Chippewa Kids Club! To join simply fill in the information below and click "Submit" at the bottom of the page. There is no membership fee for this club!

Required Fields in Bold

Name
 
Address
 
City
 
State
 
Zip Code
 
E-mail
 
 
Phone
 
Birthday
 
Age
 
Grade (Entering into the fall of 2013: 8th grade and under)
 
School
 
Parent(s) Name
 
How did you hear about the Chippewa Kids Club?
 
A previous Kids Club member
At a CMU athletic event
At school
From one of our sponsors
Other
If answer was other, please state how you heard about the Chippewa Kids Club.