Event Registration Form

PLEASE FILL OUT ONE FORM FOR EACH CHILD

Child's Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Address

Street Address

Street Address 2

CityState / Province

Postal / Zip Code

Parent's Name

First NameLast Name

Parent Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

E-mail

example@example.com

Father's Name

First NameLast Name

Father's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

ALLERGIES/SPECIAL CONSIDERATIONS

Some of our events are Drop Off Optional and some are Drop Off Only. Please Read the Description to See Which Ones Are Applicable. If it is OPTIONAL, please indicate whether you plan to Drop or Stay.

COUPON CODES

USE CODE 2EVENTS for $5 off of Two Events!

USE CODE 3EVENTS for $10 off of Three Events!

HAVE MULTIPLE CHILDREN?? PLEASE REGISTER YOUR FIRST CHILD AT THE FULL PRICE, and USE CODE SIBLING20 for 20% off your additional children!

IF YOU DO NOT SEE THE SUBMIT BUTTON, YOU HAVE NOT SELECTED ANY EVENTS. ON MOBILE VERSION, YOU MUST CLICK ON THE BLACK TEXT OF THE EVENT UNTIL YOU SEE THE CHECKED BOX TURN BLUE.

My Products

4/10-SPRING BREAK-BEACH DAY

DROP OFF EVENT ONLY! Campers will enjoy a day of beach-themed crafts, games, and activities inspired by sun, sand, and ocean fun. The day also includes a hands-on science experiment as kids explore, create, and make new friends along the way!

$16.00

	Quantity	Price
BEFORECARE 8:00-9:00		$16.00
BEFORECARE 9:00-10:00		$20.00
CAMP 10:00-2:00		$65.00
AFTERCARE 2:00-2:30		$10.00
ADD ON SPECIAL EVENT UNTIL 4:30		$65.00

4/10-2:30-4:30-MINI MAKERS WORKSHOP x CREATIONS BY NICOLE

Hosted by Creations by Nicole + Kidz Course, this hands-on experience is the perfect mix of creativity and play for kids ages 3+. Little makers will enjoy a fun-filled afternoon of creating, exploring, and getting a little messy. Each child will get to make slime and stuff their very own plush, plus enjoy full access to our play gym.

$65.00

VIP PRIVATE PLAYDATE

Enjoy PRIVATE use of the space and PLAY GYM for 10 kiddos! Play Date including 10 friends: $200.00 Pay this deposit, and then you will be billed for the difference. Each additional child can register separately here for $20.00 CALL 1-888-809-KIDZ or EMAIL thekidzcourse@gmail.com to select your date and time! DROP OFF OPTIONAL

$20.00

4/26-4:30-5:30- INCLUSIVE PLAY HOUR

Enjoy a fun & supportive free-play environment where your little learner can shine! Try out our jungle gym and activity stations! NOT A DROP OFF EVENT

$20.00

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Total

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