2024 K Peas Place Registration Form

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Parent's Name* This field is required.
First Name
Middle Name
Last Name
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Additional Caregivers bringing your children* This field is required.Nannies, Grandparents etc.
First Name
Middle Name
Last 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.
Date
Year
Month
Day
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Sibling- Child's Name
First Name
Last Name
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Sibling- Child's Date of Birth
Date
Year
Month
Day
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Sibling- Child's Name
First Name
Last Name
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Sibling- Child's Date of Birth
Date
Year
Month
Day
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Sibling- Child's Name
First Name
Last Name
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Sibling- Child's Date of Birth
Date
Year
Month
Day
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Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
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Algeria
American Samoa
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Anguilla
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The Bahamas
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Fiji
Finland
France
French Polynesia
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Iceland
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Iran
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Jamaica
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Jersey
Jordan
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Kenya
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North Korea
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Laos
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Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
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Turkish Republic of Northern Cyprus
Northern Mariana
Norway
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Poland
Portugal
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eSwatini
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Other
Country
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E-mail* This field is required.
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Cell Phone* This field is required.
Area Code
Phone Number
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Tell us when you plan to attend + who referred you + your goals of attending.* 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 23 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 14 calendar days 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! IN THE BOX BELOW- MENTION WHY you'd like to attend our classes and/or play sessions! Mention who referred you!
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Have we met before, if yes? Where?* This field is required.
K Peas Place Birthday Parties
K Peas Place Special Events
Private class/event
Found you by GOOGLE
Found you by FACEBOOK
Found you by Instagram
referred by a friend/ who is your friend?
Other
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Add to TEXT reminders 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.* 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~ 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 * 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.We are excited to welcome you!
YESNO
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Signature - READ! Our message is heartfelt! Welcome to K Peas Place!! Agree to our Waiver, Refund Policies.* This field is required.Release and Waiver of Liability Form- By signing in /checking in states, I will be participating in K Peas Place activities. My child (ren), will be in attendance with me and I will be totally responsible for my child’s safety, health and wellbeing. I, recognize that there are risks involved in any activity and hereby assume all risk of injury, harm, damage or death in connection with my participation in this activity. I understand and agree that neither K Peas Place and hosting site nor its trustees, officers, directors, employees, agents, landlords, or representatives may be held liable in any way for any injury, harm, damage or death that may occur as a result of my participation in this activity. To the fullest extent permitted by law, I agree to save and hold harmless K Pease Place and hosting site from any claim by myself, my estate, heirs, successors, assigns or other persons arising out of my participation in this activity. I authorize K Peas Place and hosting site through its trustees, officers, directors, employees, agents or representatives to render or obtain such emergency medical care or treatment for me or my child as may be necessary should any injury, harm or accident occur while participating in this activity. I understand and acknowledge that K Peas Place and hosting site does not provide health or medical insurance in connection with this activity and I agree that I will be financially responsible for any bills incurred as a result of medical treatment, including emergency medical treatment and/or transportation to a medical facility, in connection with my/my child’s participation in this activity. By signing I accept email updates, text updates and give permission of K Peas Place to use images of my family for advertising and promotion via social media forums of their business. Unless otherwise noted by you in print upon arrival. 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 14 calendar days 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: Few Reminders! Adults (18 and over) must be accompanied by a child and children (17 and younger) must be accompanied by an adult All adults must stay with children No smoking or vaping Prohibited Items: Any weapons Illegal drugs, alcohol, explosives Contraband tobacco or e-cigarettes Any professional photography equipment By choosing to attend K Peas Place with you children you are agreeing to: • Be attentive to your children, you are responsible for their behavior. • Encourage slow safe feet. • Use polite language. • Encourage considerate actions towards others. As a blended age venue, the children are provided opportunities to learn from others. Including the “big kids” to be mindful towards babies! These standards must be respected. If there is any rough house towards others and /or equipment your family will be told to leave. We understand there will be “off” days in behavior. However, safety is #1 for all to have fun! We trust you and appreciate your trust in us and our efforts to create a place to attentively, CONNECT, PLAY, and CELEBRATE time together! Arrival: • Remove shoes – adult wear socks, kids optional. (grippe socks are recommended) · • Leave belongings in the front storage cabinet, bring minimal necessary items. • (Lighten your load) • Sign in at the front desk. • Wash your hands in the bathroom before playing- sing Happy Birthday😊 as often as you need to) Playtime: • Enter the playroom- follow your child's lead. • We daily sanitize, rotating toys/materials regularly. • Reminder, if anything goes in their mouths place the items into the "to be washed bin" 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 who 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 and with compassion as we navigate early childhood with you. There are guidelines in place for sessions to run smoothly and safely. Connect with us anytime, with any questions. • Keep food and beverages in the eating area. • You may bring water bottles/ drinks w/ closed lids. • Payments are non-refundable and non-transferrable. LOVE and SHARE! • Help us by sharing your positive praise on our google page. • Invite your friends! • Book private birthday parties. • Join us for to experience joy and be inspired! At K Peas Place we understand young children learn through their senses and affection. As adults we can model & talk gently to guide them in appropriate behavior. Please, let go of your stressors here. Your time here at K Peas Place is a place of positivity! We understand the need to talk and discuss worldly events, however we like to think of K Peas Place as a place to let it all go and just “BE” with your children. Connect. Play. Celebrate TODAY! When we dedicate ourselves to our children, we may find the inner joy is highlighted amongst the challenges we all may be facing within our own journeys! Let these little ones guides us as well into their world of pureness! You and your children deserve the laughter of early childhood! Why the Ladybug! Though small in 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! With much gratitude, Miss Karen and team “KP” Thank you for your support!
Clear
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Check your interests:* This field is required.Your goals our important to us! Thank you!
Music/Alphabet Class + Play $45 pay as go / or/ 5/$175 use in 2 months
Music / Alphabet Class only $30 pay as go/ or/ 5/ $125 use in 2 months
Play only $25 pay as go/ or 5/$100 use in 2 months.
once a week/ 4 x month (package best deal)
2 x a week/ 8 x month (monthly plan is the best deal- 3 months $550 upfront or $200 monthly/ 3 month commitment autopay)
weekends only
I'd like to book a private play session- $35 per family min. 5 families. ie; my child's classmates at preschool, an organization, neighbors, moms group
I'd like to book a PRIVATE BIRTHDAY PARTY
I have an appointment with Peekaboo Ear Piercing!
I'd like to make an appointment with Peekaboo Ear Piercing.
Friday 12/20 Santa's Interactive Storytime (5:30-7:30) $90 per family of 4, $10 per head extra
Tuesday 12/10 (12:15- Starkey Ranch Musical Playdate)
Other
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Image Field
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When do you plan to attend add the date and time you will join us! Reply to our email confirmation to to be added to our guest list and organize payment* This field is required.add the date and time.
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Terms and Conditions* This field is required.Cash, Zelle, and Venmo preferred to avoid Credit card 3.5% processing fee. 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 14 calendar days of the date received. Important: Policies/ When you make a payment 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 plans 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.
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