Shoptalk Fall Registration Form

Shoptalk Fall Children's Program
We are delighted to announce that KiddieCorp will be hosting the children's program during Shoptalk Fall 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 has solidified its position as a leading provider of children’s program services through its endorsement and longstanding partnership with the American Academy of Pediatrics. Our top priority is the care of your children, ensuring they not only enjoy themselves but also receive exceptional care.

CHILDREN'S PROGRAM DETAILS

Date & Hours:

Tuesday, September 29 - 8:00 a.m. to 6:00 p.m.

Wednesday, September 30 - 8:00 a.m. to 6:00 p.m.

Thursday, October 1 - 7:30 a.m. to 2:30 p.m.

Location:

Music City Center in Nashville, TN

Ages:

6 months through 12 years old

Cost:

There is no cost to utilize Shoptalk children's Program

We encourage early registration as availability is limited and operates on a first-come, first-served basis. To secure advance reservations, the registration form must be received by KiddieCorp.

MEALS/SNACKS

Shoptalk will provide water and a nutritious lunch for all three days. Parents are responsible to provide snacks. Parents are also welcome to send their child with a lunch or check them out.

KiddieCorp's program that 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 for child-care related inquiries. Feel free to contact KiddieCorp by phone at (858) 455-1718 or by e-mail at info@kiddiecorp.com. For questions related to the conference, please reach out to Shoptalk at info@shoptalk.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, allergies, or special needs?
Please be as detailed as possible.
Does your child(ren) have any special needs under the Americans with Disabilities Act?
Please be as detailed as possible.
Child(ren)'s Information
How many children are you registering in the program?
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
Dates & Times

Please add pickup and drop off times for each day.
Tuesday, September 29: 8:00 a.m. to 6:00 p.m.

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Wednesday, September 30: 8:00 a.m. to 6:00 p.m.

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Thursday, October 1: 7:30 a.m. to 2:30 p.m.

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Weekly Total
Additional Information
Authorized Pick Up
Please list only those allowed to check-out the above child(ren) from the KiddieCorp children's program:

(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, Shoptalk, 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 Shoptalk 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:

Shoptalk Fall Children's Program

Parent Information

Child(ren)'s Information

Dates & Times

Authorized Pick Up

Emergency Contact

Liability Release