IT’S FREE TO JOIN

Official Registration Form 

When you join Northgate’s Little Shoppers Club, kids age 12 and under can enjoy free birthday meals, balloons, a free carousel ride, surprise gifts and more! 

Members will also receive special e-mail blasts, and “members only” discounts from some of their favorite stores plus the Museum of Life and Science. 

To apply for your free membership card fill in the required fields and click the submit button at the bottom. 

You may also register in person at Northgate’s Customer Service Center.

 

Please provide the following contact information:

Parent or Guardian's Name:
Relationship to Child:
E-mail address: 
Street Address:
Address (cont.):
City:
State:
Zip/Postal Code:
County:
Day Time Phone Number:
Child's Name:     
Child's Birthday (mm/dd/yyyy):
2nd Child's Name:     
2nd Child's Birthday (mm/dd/yyyy):
3rd Child's Name:     
3rd Child's Birthday (mm/dd/yyyy):