Child's Name *

First Name

Last Name

What is your child's birthday? *

MM

DD

YYYY

What early learning skills would you like to see covered in your child's pouches? *

(Choose at least 3)

All skills

Shapes and Colors

Number Recognition 0-10

Numbers Recognition 11-20

Counting

Addition

Letter Recognition - Capital Letters

Letter Recognition - Lowercase Letters

Letter Sounds

CVC Words (Consonant-Vowel-Consonant)

High Frequency Words (Sight Words)

Handwriting / Letter & Number Formation

Science & Exploration

Please select all items that interest your child. *

Animals

Arts/Crafts

Board Games

Construction

Cooking/Baking

Dinosaurs

Fairy Tales

Farms

Fishing

Gardening

Insects

Nature

Parks/Playgrounds

Rocks/Geology

Singing/Dancing

Sports

Superheroes

Theater/Acting

I understand that all activities are meant to be done with direct parent supervision for the safety of my child as well as the best opportunity for my child to learn the information provided within the pouches. *

*Pouches contain small pieces and many contain messy materials.

Yes, I understand.

If you cancel your yearly subscription early you will not receive a refund. You can cancel your monthly subscription at any time but will not receive a refund for the current month once payment has already been processed. You may be charged for lost or broken pieces. *

Yes, I understand.

By applying for a membership to Kangaroo School, I hereby agree to abide by its rules and to indemnify Kangaroo School, its members, and staff against all loss, liability, injury or damage, however caused, arising from borrowing by or through me, of any materials or supplies. *

Yes, I agree.

By sharing my credit card information, I agree for Kangaroo School to charge my card monthly or annually. *

Yes, I agree.