Please select the "Add Kid" button to begin.

Kid First and Last Name
Kid BirthdateAn icon denoting this is a required field
Drop Down Calendar
Kid First and Last Name
Kid BirthdateAn icon denoting this is a required field
Drop Down Calendar
Kid First and Last Name
Kid BirthdateAn icon denoting this is a required field
Drop Down Calendar
Kid First and Last Name
Kid BirthdateAn icon denoting this is a required field
Drop Down Calendar

Parent / Guardian Contact Information

First and Last NameAn icon denoting this is a required field
AddressAn icon denoting this is a required field
CityAn icon denoting this is a required field
State/ProvAn icon denoting this is a required field
Zip/PostalAn icon denoting this is a required field
Phone NumberAn icon denoting this is a required field
Email: An icon denoting this is a required field

Payment options

Please select the method and frequency of payments below


How much would you like to donate today?

A minimum of $96/year ($8/month) must be met to enroll 2 children into the Smoky Hills Kids Club Program. Additional children are $48/year ($4/month)




Please specify amount:
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