CHEST Registration Form

Invoice Number
CHEST Children's Program
We are delighted to announce that KiddieCorp will be hosting the children's program during the CHEST Annual Meeting 2026. With forty years of experience, KiddieCorp has been a trusted provider of high-quality children's programs and youth services for conventions, trade shows, and special events.

KiddieCorp's longstanding partnership with the American College of Chest Physicians has played a key role in establishing us as a premier provider of children's program services. Our commitment to caring for your children is our top priority, ensuring they not only have fun but also receive excellent care.

CHILDREN'S PROGRAM DETAILS

Date and Hours:

Sunday, October 18: 7:30 a.m. to 5:30 p.m.

Monday, October 19: 7:30 a.m. to 6:00 p.m.

Tuesday, October 20: 7:30 a.m. to 5:30 p.m.

Wednesday, October 21: 7:30 a.m. to 5:00 p.m.

Location:

Sheraton Phoenix Downtown, Phoenix, AZ

The exact location will be shared in a confirmation email one week prior to the start of the program.

Ages:

6 months through 12 years old

Ratios:

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

Cost:

$20.00 per hour, per child and a $15.00 administrative fee per child.

CHEST subsidizes over 50% of the program cost, allowing to offer this service at a reduced rate for families.

Advance Registration Deadline:

September 16, 2026

We encourage early registration as availability is limited and operates on a first-come, first-served basis. To secure advance reservations, both the registration form and full payment must be received by KiddieCorp. On-site registration will be limited to available space.

MEALS/SNACKS

Snacks and water will be provided at no charge. Meals must be supplied by parents each day or purchased through the hotel’s meal service (menu coming soon). Parents may also sign their child out to take them to lunch or drop off a meal at the program.

KiddieCorp's program is nut-free. We kindly request that you refrain from bringing any snacks or meals containing nuts or nut products.

ACTIVITIES
Activities include exciting themes, arts & crafts, group games, music & movement, board games, story time, dramatic play, etc. We tailor activities to suit each age group appropriately.

TEAM MEMBERS

Our goal is to provide your children with a comfortable, safe, and happy experience. KiddieCorp team members are selected according to their integrity, experience, education, and enthusiasm. Every program has a CPR/First aid certified manager that is on site at all time.

REGISTRATION TERMS AND CONDITIONS

Additional information for parents:
- KiddieCorp staff does not administer medication, including sunscreen.
- For the safety and enjoyment of all, children who are ill will not be admitted to the program.
- Please label your child's belongings. While we maintain a lost and found, KiddieCorp does not assume responsibility for lost or stolen items.
- Parents with infants, kindly bring diaper changing supplies, formula/baby food, and a change of clothes for your child's comfort.
NEED MORE INFORMATION?

KiddieCorp is 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 Information
Parent Name*

First NameLast Name
Parent Name

First NameLast Name
E-mail Address*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Does your child(ren) have any health limitations or allergies.*

YesNo
Please be as detailed as possible.
Does your child(ren) have any special needs under the Americans with Disabilities Act?*

YesNo
Please list the special needs and specify which child is impacted if you have multiple children.
Child(ren)'s Information
How many children would you like to register:*
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
Program Fee
The fee is $20.00 per hour, per child and a $15.00 administrative fee per child

KiddieCorp accepts MasterCard, Visa, American Express, & Discover.

Payment in full is required to confirm your reservation. 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.
Dates & Times

Please add drop off and pick up times for each day your child(ren) is attending the program.
Saturday, October 18 - 6:30 a.m. to 6:00 p.m.

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Sunday, October 18 - 7:30 a.m. to 5:30 p.m.

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Monday, October 19 - 7:30 a.m. to 6:00 p.m.

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Tuesday, October 20 - 7:30 a.m. to 5:30 p.m.

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Wednesday, October 21 - 7:30 a.m. to 5:00 p.m.

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Weekly Total
Additional Information
Payment Information
# of Children
Cost Per Hour
Admin Fee
Total Fee(Hidden)

Total fee ($20 x # children x # hours) + (Admin Fee)*

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Cancellation Policy
Cancellations must be submitted to KiddieCorp by October 17, 2026 to receive a 50% refund. No refunds will be issued for cancellations made on or after October 18, 2026.
Authorized Pick Up
Please list only the individuals authorized to check out the above child(ren) from the KiddieCorp children's program, including parents/guardians:

(Please list name and relationship; photo ID will be required when checking out children):
How many people are authorized to check-out the above child(ren)?*
Contact 1 Information*

Name:Relationship:
Phone Number

Area CodePhone Number
Contact 2 Information

Name:Relationship:
Phone Number

Area CodePhone Number
Contact 3 Information

Name:Relationship:
Phone Number

Area CodePhone Number
Contact 4 Information

Name:Relationship:
Phone Number

Area CodePhone Number
Emergency Contact

Someone who is not with you onsite
Emergency Contact Name:*
Emergency Contact Phone Number*

Area CodePhone Number
Liability Release
We, the undersigned adults, agree to place our child or ward in the KiddieCorp children’s program. For ourselves, our child/ward (or children/wards), and each of our respective heirs, assigns, and next of kin, we hereby release and agree to indemnify and hold harmless KiddieCorp, American College of Chest Physicians, and their respective officers, directors, agents, employees, assigns, vendors, and the owners and/or lessors of the facility or facilities where the program will be held (collectively “the Releasees”), from any and all claims which may now or hereafter arise from our child’s/ward’s (or children’s/ward’s) participation in the KiddieCorp program. We do not release claims arising from Releasees for any of their willful misconduct or gross negligence.

Photographs taken throughout the children’s program may be used for promotion and/or publication by the American College of Chest Physicians and KiddieCorp, Inc.

We have read the above and understand this release. Furthermore, in the event of an emergency or health concern, KiddieCorp has our permission to administer first aid, contact our pediatrician, or obtain emergency medical treatment for our child. We agree to pay all expenses incurred due to an emergency involving our child.

KiddieCorp reserves the right to limit participation of any child whose presence or behavior may disrupt the program or endanger the health and safety of others.
Signature*
Should be Empty:

CHEST Children's Program

Parent Information

Child(ren)'s Information

Program Fee

Dates & Times

Payment Information

Cancellation Policy

Authorized Pick Up

Emergency Contact

Liability Release