PugglesPUGGLESenrollment formPlease enable JavaScript in your browser to complete this form.Child Name *FirstLastHome AddressWe might want to send your child a card or noteDate of BirthGenderBoyGirlAge *123Food Allergies or Medical Problems:Parent(s), Grandparent(s), Guardian, Sponsor *FirstLastList the name(s) of the person who is registering this child for the club (John, Jane Doe)Primary Phone NumberSecondary Phone NumberSuppliesYearly DuesBook Bag ShirtShirt SizeSmallMediumLargeX-LargeXX-LargeList the names of people who might be picking up your childThose listed above will be allowed to pickup my child. If someone we wouldn't recognize will be coming for your child PLEASE LET US KNOW. We will not release your child to someone we don't know.Submit