2025 K Peas Place Registration Form

1
Parent's Name* This field is required.
First Name
Middle Name
Last Name
2
Additional Caregivers bringing your children* This field is required.Nannies, Grandparents etc.
First Name
Middle Name
Last Name
3
Child's Name * This field is required.
First Name
Last Name
4
Child's Age* This field is required.
5
Child's Date of Birth* This field is required.
Date
Year
Month
Day
6
Sibling- Child's Name
First Name
Last Name
7
Sibling- Child's Date of Birth
Date
Year
Month
Day
8
Sibling- Child's Name
First Name
Last Name
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Sibling- Child's Date of Birth
Date
Year
Month
Day
10
Sibling- Child's Name
First Name
Last Name
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Sibling- Child's Date of Birth
Date
Year
Month
Day
12
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
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. IN THE BOX BELOW- MENTION WHY you'd like to attend our classes and/or play sessions! Please share your goals for your family! Are you looking for a routine to learn and grow together by attending our programs regularly with your child? Do you plan to send your nanny or caregiver to enjoy activities with your children! Thank you! How often do you plan to attend each week? 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 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! Welcome! Dress comfortably and dedicate time with your children/ family! For over 24 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.
Clear
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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 via ZELLE: kpeasplace@gmail.com or VENMO. REPLY to our email for details!* 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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ORDER SUMMARY
Total costUSD
One Class$30 one class or 5/ $130 use in 2 months any day any time
$30.00Edit
Back
Discount Class only package5 classes use any day/ any time within 2 months
$130.00Edit
Back
One Play ( no class)one play session $25 or 5/ $100 use in two months
$25.00Edit
Back
Discount Play Only Package5 play sessions use any day any time within in 2 months
$100.00Edit
Back
one day- class & playpay as you go $50 or purchase 5/ $185 use in two months
$50.00Edit
Back
NEW FAMILY one month unlimited date to dateJoin us for one month to experience music and play with your family. Rate includes the whole family. date to date. One class and one play a day. (special events and preschool program NOT included)
$200.00Edit
Back
Preschool ProgramOne day - PreK music + play ( drop off co/play/work optional) $75 one day or discount options available
$75.00Edit
Back
Elmo's Halloween PartyJoin us 10/26 - 9:30-11:00 in costume (optional) to sing and play with Elmo! Light refreshments will be offered!
$65.00Edit
Back
Total cost $0.00
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