RIPBS Kids Club Registration Form

Rhode Island PBS
is excited to announce
our brand new
RI PBS Kids Club!

As a Kids Club member, your child(ren) will receive a welcome gift box in the mail, with an official RI PBS Kids Club Member medal inside. Like our "grown-up" Member Card, the medal will be good for admission to special Kids Club events and discounts at other cool places for Kids. The package also includes coloring pages, crayons, stories, a bookmark, a poster, and more!

Membership for the RI PBS Kids Club is $20.00 and includes (1) Welcome gift box for (1) child. Each additional sibling at the same address is only $10.00! Siblings will also receive a Welcome gift box.

Please contact 800-613-8836 x.209 for more information.

Please fill out the form below. If you have additional questions or comments, please use the comments box. Once you have verified your information, please click the SUBMIT button at the bottom of the form.

*After you have submitted this registration form, you MUST continue to our secure Payment page to complete Kids Club transaction. *

Name:

Address:

City:

State:

Zip:

Phone:

Email:

Child's Information:

Name: Birthday: Email:

Additional Comments:

*Please note: When submitting this form, you may be prompted with a message. You must click "Allow" for the email to be processed.

and then