Sign Up for the WTIU Kids Club!

Child 1

First Name

Last Name

Date of birth

Favorite WTIU program Animalia Arthur Barney and Friends Between the Lions Bob the Builder Caillou Clifford the Big Red Dog Curious George Cyberchase Dragon Tales Fetch! with Ruff Ruffman The Friday Zone It's a Big Big World Martha Speaks Maya and Miguel Mister Rogers' Neighborhood Saddle Club Sesame Street Sid the Science Kid Super Why Thomas and Friends Wishbone WordGirl WordWorld Zoboomafoo

Child 2

First Name

Last Name

Date of birth

Favorite WTIU program Animalia Arthur Barney and Friends Between the Lions Bob the Builder Caillou Clifford the Big Red Dog Curious George Cyberchase Dragon Tales Fetch! with Ruff Ruffman The Friday Zone It's a Big Big World Martha Speaks Maya and Miguel Mister Rogers' Neighborhood Saddle Club Sid the Science Kid Sesame Street Super Why Thomas and Friends Wishbone WordGirl WordWorld Zoboomafoo

Child 3

First Name

Last Name

Date of birth

Favorite WTIU program Animalia Arthur Barney and Friends Between the Lions Bob the Builder Caillou Clifford the Big Red Dog Curious George Cyberchase Dragon Tales Fetch! with Ruff Ruffman The Friday Zone It's a Big Big World Martha Speaks Maya and Miguel Mister Rogers' Neighborhood Saddle Club Sid the Science Kid Sesame Street Super Why Thomas and Friends Wishbone WordGirl WordWorld Zoboomafoo

Parent or Guardian Information

Name of parent or guardian:

Mailing address (Your mailing address will be used to send Kids Club materials to the children.)

City

State: IN

ZIP

Phone number (Your phone number and e-mail address will be used to contact you in case of returned mail.)

E-mail address

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