Membership Form

Kids Club Annual Membership

Membership Option

Amount

This is a

Contact Information

First Name

Last Name

Child's Name

Address

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $25.00 to go to Sioux Falls Area Humane Society and I will donate $25.75.No. I will donate $25.00 and Sioux Falls Area Humane Society will cover the processing costs.

Payment Information

Payment Options

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.

Assumption of Risk

it is agreed that all risks attendant to watching and/or participating in shelter activities, including, but not limited to bodily injury, are assumed by the participant and his/her parents and/or legal guardian and that this assumption is acknowledged, approved, and agreed to by said participant and his/her parents and/or legal guardian as indicated by the purchase of the Kids Club Membership. The Sioux Falls Area Humane Society will not take liability for any injuries sustained during activities.