Pop Club - FORM - LINCOLN PARK FARMERS MARKET

Our POP Club Program is a Zoom weekly event, each Sunday, at 2:00 pm, from June 6th through October 31st except for June 27th, July 4th, July 18th and August 15th. POP Club is virtually until we can have children’s activities safely at the market.

Upon registering, Zoom details will be emailed to the parent.

POP Club Parent Registration Form

* Indicates required field

Parent's Name *

First

Last

Parent's Phone *

Parent's Email *

Please list child's first name, as well as their current age.

1. Child Name/Age *

2. Child Name/Age *

3. Child Name/Age *

4. Child Name/Age *

Parent's Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent Authorization: By clicking on the Submit button below, I agree to have my child/children participate in Lincoln Park Farmers Market's virtual online POP Club.

Thank your for registering. We will contact you soon with the Zoom details.

Submit

POP CLUB PROGRAM

POP Club Parent Registration Form