2023 K Peas Place Registration Form

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Parent's Name* This field is required.
First Name
Middle Name
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Additional Caregivers bringing your children* This field is required.Nannies, Grandparents etc.
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Middle Name
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Child's Name * This field is required.
First Name
Last Name
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Child's Age* This field is required.
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Child's Date of Birth* This field is required.
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Day
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Sibling- Child's Name
First Name
Last Name
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Sibling- Child's Date of Birth
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Year
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Day
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Sibling- Child's Name
First Name
Last Name
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Sibling- Child's Date of Birth
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Year
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Sibling- Child's Name
First Name
Last Name
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Sibling- Child's Date of Birth
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Day
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E-mail* This field is required.
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Cell Phone* This field is required.
Area Code
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Class Details * This field is required.Welcome! Music Class = Music with Mar. Classes (ages 0-6yrs) an interactive educational music and movement program helping families/ caregivers bond, learn and grow together based on the latest brain research; Brain research proves that by introducing concepts through the use of music and movement and involving more senses, the information will more likely be retained. Music with Mar.'s Froggy Fitness Fun (0-7yr) an interactive high energy family class that promotes exercise, nutrition, and relaxation through music and movement. A great workout for everyone. Alphabet Learn & Play Class (babies/toddlers 0-2.5 & preschoolers 2.5-6yr) a semi-structured that includes table sensory activities, playtime, and circle time. We're excited to continue our programs and offer you an opportunity to continue joy with your sweet peas in a time of crisis! "It's more than just singing & playing!" Dress comfortably and dedicate time with your children/ family! For over 21 years, I have had the joy to witness love in a special way and am excited to continue to connect, play and celebrate with each family I continue to meet! Love, Miss Karen "KP" Thank you! IMPORTANT! Read Thoroughly to understand our unique payment offers!! Your direct connection is requested to confirm daily attendance! Thank you! We generate a guest list each day. Schedule is subject to change daily due to unseen circumstances. Your daily connection will allow us to communicate with you, if there are any changes. Pricing is subject to change. You may always choose only open play or only class. PRICING & PERKS Payments are non refundable and non transferable. Payments are per family, not per child. Includes immediate siblings only. Cousins, friends, & neighbors in your care pay individually. No annual registration fee and no commitments required, you may pay as you go. Payments/ credits must be applied within 2 weeks of initial payment. Upgrade to a package or monthly with initial payment within one week of first visit. Each option is separate pricing, we discount for attending both. Our mission is not only to truly connect and celebrate each family but to provide FLEXIBILITY-AFFORDABILITY and a VARIETY of options for you to enjoy in a gracious time period as we know, no two days are the same with little ones! For this we do not require monthly auto enrollment, instead we offer prepaid discount return packages that are honored any day and time (not locked into days or times use it or lose it philosophy) and offer pay as you go, our unlimited is paid upfront, no credit cards on file. Our community welcomes you to join us weekly and offer you the option to apply your initial payment to a package within one week of your first visit. In the event you do not join us today as planned your payment is honored within 2 weeks of the date received. Important: Policies/ When you make a payment online you must join us within 2 weeks of the initial payment, NOT a month(s) later. We will begin the policy expiration for packages and monthly unlimited upon the first visit. This is extremely important for us for 2 reasons: #1 ~ we base our schedule on the quantity of commitments to ensure our mission is met, flexibility, affordability, variety! #2 ~ joining us regularly helps everyone, your child (ren), adults and me, your teacher! Relationships are part of what makes us so special. Thank you for being you, sharing your goals for your families! Each registration has value to our why! You found us, and we are so very thankful! We simply grow, tweak, groom, polish, the more we are together! With that said there is a happy medium... a balance and not over scheduling! Logistics/ more policies: In the event, that you must quarantine we will extend packages 2 extra weeks! In the event that K Peas Place must close to quarantine, we will extend packages 2 weeks! If you are monthly unlimited, we will extend one extra month from the last day attended. If you prepaid one visit and do not come, your visit may be used with in two weeks of purchase. More LOVE Thank you so much for understanding and supporting our family business and your fellow K Peas Families/ your friends! We all look forward to seeing each other! As we focus on fun while we are together, we will reserve the right to schedule discussions privately. Thank you! As always, I will cry with you and always have a conversation with you, feel free to call or email anytime. One last policy! What is new? Pops up classes must RSVP This is the ensure enough Participation. Weekly classes are established and do not require RSVP if you have a package or unlimited- we are expecting you!!!!!! Policies are understood. Oh and more LOVE our rates remain the same- per family!!!!! Not per child;) IN THE BOX BELOW- MENTION WHY you'd like to attend our classes! Mention who referred you to class.
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Have we met before, if yes? Where?* This field is required.
Class Westchase/ K Peas Place
Show Library
Class Dunedin/ Clearwater
K Peas Place Birthday Parties
K Peas Place Special Events
Little Engineer's Club
Armature Works
Private class/event in your community
Found you by GOOGLE
Found you by FACEBOOK
Found you by Instagram
referred by a friend
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Add to TEXT reminders* This field is required.texts are sent with daily schedule to confirm attendance the next day. Text is the first line of communication in the event we close or add on sessions, plus exclusive deals are offered.
YESNO
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Add to EMAIL reminders* This field is required.weekly emails are sent to provide you time to plan your week ahead! Important information is provided to reference for policy reminders and all the love happening here at K Peas Place! We call LOVE & LOGISTICS!
YESNO
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Are you a NEW family, this is your first time to K Peas Place?* This field is required.
YESNO
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Signature* This field is required.Understanding and Release of Liability in Regard to COVID-19 COVID-19 has been declared a worldwide pandemic by the World Health Organization. In order to resume regular business operations, K Peas Place has reduced capacity and standards of behavior to reduce the spread of COVID-19 while attending classes, open play and special events. Even with implementation of safety protocols, K Peas Place cannot guarantee that you or your child(ren) will not become infected with COVID-19; participation could increase your risk and/or your child(ren)'s risk of contracting COVID-19. ASSUMPTION OF RISK: K Peas Place cannot prevent you or your child/children from becoming exposed to, contracting, or spreading COVID-19 while attending classes, open play and special event activities. It is not possible to prevent against the presence of the disease. Therefore, if you choose for your child/children to K Peas Place, your child/children and/or other family members may be exposed to and/or at increased risk of contracting or spreading COVID-19. I/we have read and understood the above warning concerning COVID-19. I/we hereby choose to accept the risk of contracting COVID-19 for myself/ourselves, my/our child/children, and/or other family members in order for my/our child/children, to attend K Peas Place and related activities. By signing this agreement, I/we acknowledge the contagious nature of COVID-19 and that my/our child(ren) and I/we may be exposed to or infected by COVID-19 by attending and/or being present at K Peas Place, and/or by participating in class activities, and that such exposure or infection may result in personal injury, illness, permanent disability, and death. WAIVER OF LAWSUIT/LIABILITY: I hereby forever release and waive my right to bring suit against the K Peas Place and each of their respective owners, officers, directors, managers, officials, trustees, agents, employees, authorized volunteers, or other representatives in connection with exposure, infection, and/or spread of COVID-19. I understand that this waiver means I give up my right to bring any claims including for personal injuries, death, disease or property losses, or any other loss, including but not limited to claims of negligence and give up any claim I may have to seek damages, whether known or unknown, foreseen or unforeseen. CHOICE OF LAW: I understand and agree that the law of the State of Florida will apply to this contract. I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY ASSUME THE RISK AND WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE. I am the parent or legal guardian of the minor(s) named above. I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Release. I agree to the TERMS & CONDITIONS: We are excited to have you join us with your sweet peas for OPEN PLAY. We strive to provide a safe, clean, relaxing and educational experience for you to enjoy with your friends, family, and new found friends you meet here at K Peas Place. Prior to arrival ask yourself: To prevent the spread of COVID-19 and reduce the potential risk of exposure to our staff & friends, we ask that you help us take precautionary measures by honestly asking yourself the following questions and if the answer is "yes" to any of these questions, we ask that you refrain from coming to the K Peas Place until you are able to self-quarantine for 14 days. 1. Has anyone in your household returned from any of the countries listed on the CDC's Coronavirus FAQs within the last 14 days? 2. Has anyone in your household had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days? 3. Has anyone in your household been in close contact with anyone who has traveled outside of the country within the last 14 days? 4. Has anyone in your household experienced any cold or flu-like symptoms within the last 14 days (to include, fever, cough, sore throat, respiratory illness, difficulty breathing)? Arrival: · Remove shoes –wear socks (grippie socks are recommended) · Leave belongings in the front storage cabinet, bring minimal necessary items (lighten your load) · Sign in at front desk. · Hand sanitize (wash your hands in the bathroom before playing- sing Happy Birthday😊 as often as you need to) Playtime: · Enter play room- follow your child's lead. Prior to Covid we always sanitized and "STAGED” the playroom, rotating toys regularly. We continue to follow protocol. Reminder, if anything goes in their mouths place the items into the to be washed bin as usual for proper sanitization. · Children are never to be left unattended by the person that brought them to K Peas Place. · Communication is an important need for all whom choose to spend time here. If you do not speak English well or understand something please, bring a translator with you. We encourage you to talk with us open mindedly with compassion as we navigate early childhood with you. There are guidelines in place for classes to run smoothly and safely. Connect with us anytime, with any questions. . Keep food and beverages in the eating area. You may bring a water bottles/ drinks w/ closed lids. · Payments are non refundable and non transferrable. Welcome Back! REOPENING includes your love and support! We are grateful to be open to serve our amazing community! 1. Help us by sharing your positive praise on our google page and send your friends! 2. Book private birthday parties. 3. Join us for our enrichment classes to enjoy and be inspired! 4. We are excited! With much gratitude, Miss Karen and team “KP” Thank you for your support and understanding during these trying times! By choosing to come to K Peas Place indicates you are comfortable to be out and about. We understand young children learn through their senses and affection. Social distancing is not understood by children. As adults we can model & talk gently to guide them. Please, let go of your stressors here. Your time here at K Peas Place will continue to be a place of positivity! We understand the need to talk and discuss worldly events, however we like to think of K Peas Place as place to let it all go an just “BE” with your children. Connect. Play. Celebrate TODAY! You and your children deserve the laughter of early childhood! Though small in the size the ladybug is fearless. As fear cannot exist amongst, JOY, the ladybug brings a message of promise for they get us back in touch with the JOY of living~ we must let go of our fears and get back to our roots, to love!
Clear
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When do you plan to attend?* This field is required.When do you plan to attend? Current Schedule: Mondays ~ Music Classes &/or Open Play! 9:00- 9:55 Open Play 10:00- 10:45 Music Class 10:45- 11:30 Open Play close at 11:30. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Tuesdays ~ Open Play &/or Class dated when added! 9:30-11:30 Open Play close at 11:30. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Wednesdays ~ Alphabet Learn & Play Classes! CLOSED 3/15 only. This is the only day activities are directed as age specific. A semi-structured experience that includes arts & crafts/table sensory activities, playtime, and circle time. A themed based preschool alternative that offers extra playful and creative learning experiences for specific ages/ milestones. Babies & Toddlers 9:00-9:25 Open Play & Art 9:30 -10:00 Classroom Circle time 10:00-10:55 Open Play/ Art *OPEN PLAY & Art is an OPTION 10:00-11:00 for all ages. Preschoolers (2.5 – 5 years) 10:30-10:55 Open Play & Art 11:00-11:30 Classroom Circle time 11:30-12:00 Open play close at 12:00. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Thursdays ~ All ages = babies, toddlers & preschoolers! 9:00- 9:55 Open Play 10:00- 10:45 Music Class 10:45- 11:30 Open Play & Trains close at 11;30. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Fridays ~ Music Classes &/or Open Play! All ages = babies, toddlers & preschoolers! 9:00- 9:55 Open Play 10:00- 10:45 Music Class 10:45- 11:30 Open Play close at 11:30. Select Fridays we welcome special guests included in your prepaid and pay as go:): 4/7 Speech & Play Q & A w/ Miss Julie 9-10am ~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Sat. 3/18 9:00-9:45 play 9:45 music class close at 10:30. Weekends available for private parties.
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ORDER SUMMARY
Total costUSD
Date to Date one Month UnlimitedOne Month date to date includes one class a day and or open play, per family. May use for pop up classes. (special events not included)
$160.00+Edit
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25% savings pay upfront - 3 Months Unlimited3 months unlimited one class and day and or open play, per family. May use for pop up classes. (special events not included)
$360.00+Edit
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TUESDAYS~ I loVE just PLAYTIME- One Open PlayTUESDAY 9:30-11:30 Open PLAY. TUESDAYS we offer extra play time 9:30-11:30- no classes on schedule . They are added before or after play, on occasion as time permits! Must use initial payment within 2 weeks. May apply to a discount package within one week of initial visit. (5/ $100 PLAY only use in 2 months OR included playtime= 5/$135 or (10/ $250- use in 3 months)
$25.00+Edit
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Mon. Wed. Thurs. Friday ONE visit includes Class and PlayPrepay to save: $40- One visit includes one class and same day play. Must use initial payment within 2 weeks. Or Pay $50 the day of (value= $25 per class; $25 per play) May apply to a discount package within one week of initial visit. ( 5/$135 use in 2 months) or (10/ $250- use in 3 months)
$40.00+Edit
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5 Class & Play Package5 Class & Play Pack -visits includes class and/or play $135 visits must be used in 2 months any day any time- dated once per visit, per family. Must use initial payment within 2 weeks. May use for pop up classes. (special events not included)
$135.00+Edit
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10 Class & Play Package 10 visits include class and/or play $250 use in 3 months- dated once per visit, per family. Must use initial payment within 2 weeks. May use for pop up classes. (special events not included)
$250.00+Edit
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4 visit Sampler4 visits may include one class and/or open play. Use in one month from the date purchased. May use for pop up classes. (special events not included)
$100.00+Edit
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Total cost $0.00
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Belarus
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Bulgaria
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Cameroon
Canada
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Chad
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China
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Cocos (Keeling) Islands
Colombia
Comoros
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Cote d'Ivoire
Croatia
Cuba
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Democratic Republic of the Congo
Denmark
Djibouti
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Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
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Liechtenstein
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Turkish Republic of Northern Cyprus
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