WBGU Frog Squad Registration Form

We are “toad-ally” excited to have you as part of Ruby’s Frog Squad and to include your child in our monthly on-air birthday shout-out.

Please note, we need notice of your child’s big day at least one month prior to be able to make it on our air. Watch for the birthday announcements during our regular daytime kids programming block or online at wbgu.org/frogsquad.

Also, be sure to hop on over to our web page wbgu.org/frogsquad for updates about our squad and all the upcoming “ribbiting” activities, events and special surprises WBGU-PBS has planned.

Parent or Guardian's Information

First name *

Last name *

Country *

Street Address *

Street Address 2

City *

State *

Zip/Postal Code *

E-mail address *

Child Information

Name of 1st child *

DOB of 1st child *

Month

Day

Year

Gender of 1st child *

Boy

Girl

Name of 2nd child

DOB of 2nd child

Month

Day

Year

Gender of 2nd child

Boy

Girl

None of the above

Name of 3rd child

DOB of 3rd child

Month

Day

Year

Gender of 3rd child

Boy

Girl

None of the above

Name of 4th child

Gender of 4th child

Boy

Girl

None of the above

DOB of 4th child

Month

Day

Year

Name of 5th child

Gender of 5th child

Boy

Girl

None of the above

DOB of 5th child

Month

Day

Year

Name of 6th child

Gender of 6th child

Boy

Girl

None of the above

DOB of 6th child

Month

Day

Year

Additional Children

Your gift is very much appreciated and may be tax deductible pursuant to IRC §170(c). A copy of our latest financial report may be obtained at wbgu.org.