Join The PBS39 Cub Club Today!

To better serve you, we ask that you please include a prefix on your name when filling in your information.

First and Last Name
Address
Address Line 2
City
State/Prov
Zip/Postal
Phone Number
Email Address
Would you like your child to receive the quarterly newsletter via email or USPS?
Is this a gift membership?
IF GIFT - Special Message to Accompany Membership Welcome Packet
How did you hear about the Cub Club?
OTHER:

PBS39 Cub Club Membership Level

Please select your PBS39 Cub Club Membership Level




Please specify amount:
*Please add $10.00 for each additional child. (Example: 4 children = $90.00)

Payment Options

Cub Club Roll Call

Please provide your childrens' information below. The Cub Club is best suited for children 10 and under.

Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address LIne 1
Address Line 2
City
State/Prov
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address LIne 1
Address Line 2
City
State/Prov
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address LIne 1
Address Line 2
City
State/Prov
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address LIne 1
Address Line 2
City
State/Prov
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address LIne 1
Address Line 2
City
State/Prov
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address LIne 1
Address Line 2
City
State/Prov
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address LIne 1
Address Line 2
City
State/Prov
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address LIne 1
Address Line 2
City
State/Prov
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address LIne 1
Address Line 2
City
State/Prov
Zip/Postal
Kid First and Last Name
Kid Birthdate
Drop Down Calendar
Address LIne 1
Address Line 2
City
State/Prov
Zip/Postal
Please add any additional comments below
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