Registration Form

(PLEASE PRINT)

 

KNIGHT  or

PRINCESS NAME:_______________________________PARENT’S NAME:__________________________

 

COMPLETE ADDRESS:_____________________________________________________________________

 

CITY:________________________________  STATE:________________   ZIP CODE:_________________

 

PHONE NUMBER:__________________________ E-MAIL ADDRESS:_____________________________       

 

GENDER: M / F    BIRTH DATE:_______________________   AGE:________

 

 

What is your favorite store in the mall? _______________________  favorite restaurant?___________________

 

 

How often do you visit the mall each month?__________________

 

 

____  Check if you would like to join the Charleston Town Center e-club, and receive the latest mall news, sales & special coupons.

 

Attention Parents:

The Charleston Town Center Knight & Princess Club is a free activity open to all children, presented by the Charleston Town Center Marketing Department.  Parents are requested to accompany their children at all functions.  Charleston Town Center is not responsible for child care and not responsible for lost or stolen items. 

 

Parent’s Approval:_____________________________________________  Date:______________________