Sombrero Sam Birthday Club
& Senior Enrollment Form

Little Amigos 12 or under can be registered to receive a complimentary dinner from our Children's Menu, a free soft drink and the choice of a free birthday cake or a Little Amigo Sundae!

Kids! Please have your parents fill out the following form for you.

* Required Fields

* Name:
* Address:
* City:
* State:
* Zip:
* Contact phone:
* Email address:
* Birthdate:
Is this a renewal or change of address? Yes

You MUST be 13 or older to submit this application. Kids, please have your parents submit this application for you! Are you 13 years of age or older, or the legal guardian or parent of the above minor? Yes