Welcome
Reservations at K Peas Place
Family
*
First Name
Last Name
Caregiver other than Parent
First Name
Last Name
Child
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Child's Age
*
Child
First Name
Last Name
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Child's Age
Child
First Name
Last Name
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Child's Age
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Let's stay connected!
Text -Yes Please
Text- No thank you
Email - Yes Please
Email- No thank you
Interested in attending Classes
Other
Have you been to K Peas Place for:
*
Open Play
Classes
Birthday Party
Special Event
First time
How did hear about K Peas Place?
*
Open Play
Classes
Birthday Party
Special Event
First time
Thursdays 1:00-4:00 OPEN PLAY PACKAGES good for 3 months from the date purchased
1 visit Pay as I go $15 per family
Nov. 5th
Nov. 12th
Nov. 19th
6/ visits $75 per family (use in 2 months may use on Thursdays as well)
Other
NOVEMBER FRIDAY 9:30-11:30 Open Play and Play Dough Exploration
1 visit $15 Pay as I go per family
Nov. 6th
Nov. 13th
Nov. 2oth
Nov. 27th
6/ visits $75 per family (use in 2 months may use on Thursdays as well)
Other
How many adults in your family attending?
*
1
2
3
4
Other
How many children in your family attending?
*
1
2
3
4
Other
How would you like to PAY?
*
By Paypal to: kpeasplace@gmail.com
By Credit card over the phone
Prepaid (precovid- check my records)
Prepaid (current)
Prepaid (renew)
Other
Submit
Should be Empty: