Join Us

Join the Healthy Kids' Club

Want to become part of the Club? Have your parent/guardian sign you up and get a free book in the mail!

Sign up for the Healthy Kids' Club to get your Healthy Kids' Club Member ID card and a free health book today! We will contact you directly for a proper mailing address. (Must be 18 years or older to fill out this form)

Get your very own Healthy Kids’ Club Member ID Card.

kids club ID card example

Required fields are marked with an asterisk (*)

Child's Name *

Child's Age

Parent's First Name *

Parent's Last Name *

Email Address *

Address Line 1 *

Address Line 2

City *

Zip Code *

Are you a Coordinated Care member? Yes No

How did you learn about the Healthy Kids Club? Community Event Family/Friend Website Other

If you chose other, how did you learn about the Healthy Kids Club?