Want to be a Kidzplay Kid!? Kidzplay Club Membership Parent/Guardian name * First Name Last Name Childs Name * First Name Last Name Birth date MM DD YYYY Do you have more then one child you would like to enroll? Yes No Email * Phone (###) ### #### What services are you interested in? Mark all that apply Full time Part time Drop in! Hours and days needed for Fulltime/Part time care Preferred start day Allergies/Food intolerance Yes No How did you hear about us? Facebook Word of Mouth Online Physical location Other Tell us about your child! * Are you or your spouse a current employee of Caesars? * Yes No Thank you!