CHEST Reg Form

Thank you very much for your interest in the American College of Chest Physicians children’s program. Our goal is to provide your children with a program they want to attend, while providing you with that critical “peace of mind” feeling so you can attend your event activities.

KiddieCorp is pleased to provide a children’s program during the CHEST Annual Meeting 2019. KiddieCorp is in its thirty-third year of providing high-quality children’s programs and youth services to conventions, trade shows and special events. We take caring for your children very seriously. KiddieCorp has enjoyed a long-time partnership with the American Academy of Pediatrics, which has helped to establish KiddieCorp as a premier provider of event children’s program services.

ACTIVITIES

Activities include exciting themes, arts & crafts, group games, music & movement, board games, story time, dramatic play, etc. We provide activities appropriate for each age group, using safe and sturdy equipment. Children can make their own choices within KiddieCorp's program.

COMMITMENT

Our goal is to provide your children with a comfortable, safe and happy experience. Our staff-to-child ratios are high to ensure that every child feels special (1:2 for children ages 6 months through 11 months old; 1:3 for children ages 1 through 2 years old; 1:5 for children ages 3 through 5 years old; 1:7 for children ages 6 through 12 years old). KiddieCorp team members are selected according to their integrity, experience, education and enthusiasm. They must be wonderful with kids! In addition to our selective and competitive hiring process, KiddieCorp remains at the top of the industry by carrying ample liability insurance.

WHERE, WHEN, FOR WHOM

The program is for children ages 6 months through 12 years old. The dates for the program are October 19-23, 2019 and will be located at the Sheraton New Orleans Hotel in New Orleans, Louisiana. Kid-friendly snacks and water will be provided at no charge. Lunches will be available from the hotel for a fee and will be cash only. Orders may be placed and paid for when your child is dropped off.

Please note: Medication (including sunscreen) will NOT be administered by KiddieCorp management or staff.

REGISTRATION

The daily rates for the children's program are $40.00 for a half day and $80.00 for a full day per child. There will also be an administrative fee of $15.00 per child.

See the registration form below for event information. The advance registration deadline is September 20, 2019. Register early as availability is limited and handled on a first-come, first-served basis. KiddieCorp must receive both the registration form and payment in full to hold any advance reservations. You are also welcome to register on-site, however, there is no guarantee and it is not recommended.

REGISTRATION TERMS AND CONDITIONS

KiddieCorp staff does not administer medication. To ensure a safe and fun-filled environment, any child who is ill will not be admitted to the children's program.
Please label your child's belongings. We will maintain a lost and found, however, KiddieCorp does not accept responsibility for the loss or theft of any toy, book, or other personal items.
For parents with infants, please bring diaper changing supplies, formula/baby food, and a change of clothes.

NEED MORE INFORMATION?

KiddieCorp is always available to answer any questions. Feel free to contact KiddieCorp by phone at (858) 455-1718 or by e-mail at info@kiddiecorp.com.

Parent Name(s) *

First Name Last Name

E-mail Address *

Phone Number *

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Does your child(ren) have any health limitations, allergies, or special needs? *

Yes No

Does your child(ren) have any special needs under the Americans with Disabilities Act? *

Yes No

Please be as detailed as possible.

Child 1 First Name *

Child 1 Last Name *

Age at time of program *

Child 2 First Name

Child 2 Last Name

Age at time of program

Child 3 First Name

Child 3 Last Name

Age at time of program

Child 4 First Name

Child 4 Last Name

Age at time of program

	CHEST Drop-Off Time	CHEST Pick-Up Time	Total Hours Used
Saturday, October 19 - 7:00am to 6:00pm
Sunday, October 20 - 7:00am to 6:15pm
Monday, October 21 - 7:00am to 6:00pm
Tuesday, October 22 - 7:00am to 6:30pm
Wednesday, October 23 - 7:00am to 5:15pm

Additional Information

Payment in full is required to confirm your reservations. Although every effort will be made to accommodate late or on-site registrants, there is no guarantee that KiddieCorp can accept children unless they are pre-registered. Please make sure to bring a photo ID with you to the children's program. A photo ID will be required for check-in and check-out of children. We will have you complete a consent form when you arrive at the children's program.

Full Day $80.00 per child
Half Day $40.00 per child

Administrative fee of $15.00 per child

KiddieCorp accepts MasterCard, Visa, American Express, checks and money orders (in U.S. dollars only.)

Cancellations must be made to KiddieCorp prior to September 20, 2019 for a full refund. Cancellations made after that date will be subject to a 50% cancellation fee. Once the program has begun, no refunds will be issued.

# of Children

$ daily rates

Total fee (# children x $ rate + $15 admin fee per child) *

Select your method of payment *

Credit Card (recommended - KiddieCorp staff will contact you for payment information) Check (must be received within 10 business days)

If you are paying by check, please print two copies of this completed registration form. Keep one copy for your records and mail the other copy along with your check or money order to:

KiddieCorp/ACCP

8961 Complex Drive

San Diego, CA 92123

Hello CHEST Parents!

Parent Information

Child(ren)'s Information

Dates & Times

Payment Information