Jr. Terriers Club
Registration form

If you are registering more than one child, please fill out the form for the first child then repeat the steps for any additional children. You must be in 8th grade or below to be a member of the Jr. Terriers Club.

*Indicates required field

*Child's First Name

*Child's Last Name

*Child's Birth Date (mm/dd/yyyy)

Child's Grade

Child's Email

*Child's Street Address

*Child's City

*Child's State

*Child's Zip Code

*Parent/Guardian Name

*Parent/Guardian Email
It is important to include an active email address because this will be the main source of communication

Parent/Guardian Phone

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