MOEMPOWER Email Marketing -

MoDE Bead Kids

Have your child represented in Jefferson City by being one of MoDE's Bead Kids. Just provide information below, and we will represent your child in Jeff City.

Parent/Guardian First Name*

Parent/Guardian Last Name*

Email*

Child First Name*

Child Last Name

Child's Age*

Address

City*

Zip Code*

Child Interests/Fun Info*

Child's Favorite Color*