Pongo The Clown || GREAT KIDS CLUB

Join the Pongo The Clown

Here is a chance for every kid from 1 to 10 to feel special and be part of a fun club just for Great Kids! Each club member receives free gifts and is encouraged to feel good about making the right choices, finding the right friends, respecting parents and finding humor without offending others.

Are you the parent of a ?

When your joins the club, your child will get:
	Special mailed surprises like stickers, tattoos, and other fun stuff throughout the year.
	Positive messages about being a great kid written by adults and children like yours.
	Shared jokes, fun contests, great prizes and more.
	An official Pongo The Clown certificate and membership card to be shown at any public event or party to get a special sticker or surprise.
	A special birthday gift when Pongo The Clown entertains at your child's birthday celebration. (Get $35 off when you book Pongo The Clown for a weekday event. Discounts from other merchants are also available from time to time.)
	Membership in an e-mail club where they can read and submit jokes & get Pongo's schedule of upcoming public events.
	Free for anyone living in CT or bordering NY counties ($25.00 per year for all others - enclose check made out to Pongo The Clown, LLC; please write "Great Kids Club" in the memo line.)

Sign me up. I love free stuff! *You must have an e-mail address to complete this form. If you don't, please print and complete the form and mail it to the address below.

Child's Name First: Last:
Age (for those 1-10) Birth Date: / /
Address:
City:	State:	Zip:
Parent's Telephone Number *Parent's Email Address:

To be completed by child (with parents� help as needed)

I am a great kid because:

I heard about the club from �s party or .

The club often features writings contributed by children and adults. Many of the answers, along with the author�s name and age, will be printed in future mailings and promotional material. Children are thrilled to see their name in print.

Parents, please check one box below.
If my child�s message is chosen, please print my child�s first & last name and age so my child can feel proud of their contribution. Feel free to use the answer but only use the first name and age of my child.
Parent's Initials