LASA WaitlistForm

Invoice Number

We are delighted to annouce KiddieCorp will be hosting the children's program during Spring 2025 International Congress. With thirty-nine 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.

The program is currently full. If you would like to be added on the wailitst, please fill out the form below.

CHILDREN'S PROGRAM DETAILS

Date and Hours:

Friday, May 23rd: 8:15 a.m. to 7:00 p.m.

Saturday, May 24th: 8:15 a.m. to 7:00 p.m.

Sunday, May 25th: 8:15 a.m. to 7:00 p.m.

Monday, May 26th: 8:15 a.m. to 7:00 p.m.

Location:

The San Francisco Marrriott Marquis in San Francisco, California. Meeting Room Sierra C, Fifth Floor.

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:

There is no cost to utilize the children's program. However, there is a $1.00 non-refundable registration fee. If you recieve a spot in the program, we will email you the link.

Your registration will not be complete with if the credit card form is filled out.

If you do not attend your reserved days/hours, or if you cancel after May 2, 2025 you will be charged a $20.00 per slot, per child no-show/cancellation fee.

Availability:

We encourage early registration as availability is limited and operates on a first-come, first-served basis. On-site registration will be limited to available space.

MEALS/SNACKS

Water will be provided. Parents are responsible for snacks and meals. You may sign your 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 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.

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.

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

Waitlist - Friday, May 23rd: 8:15 a.m. to 7:00 p.m.

:HourMinutesAM/PM Option

Until

until :HourMinutesAM/PM Option

Total Hours Used

Waitlist - Saturday, May 24th: 8:15 a.m. to 7:00 p.m.

:HourMinutesAM/PM Option

Until

until :HourMinutesAM/PM Option

Total Hours Used

Waitlist - Sunday, May 25th: 8:15 a.m. to 7:00 p.m.

:HourMinutesAM/PM Option

Until

until :HourMinutesAM/PM Option

Total Hours Used

Waitlist - Monday, May 26th: 8:15 a.m. to 7:00 p.m.

:HourMinutesAM/PM Option

Until

until :HourMinutesAM/PM Option

Total Hours Used

Weekly Total

Additional Information

Cancellations must be made to KiddieCorp prior to May 2, 2025. Remember that there may be other children who require the space.

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 Name:*

Emergency Contact Phone Number*

Area CodePhone Number

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, Latin American Studies Association 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.

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 mat disrupt the program or endanger the health and safety of others.

Signature*

LASA Children's Program

Parent Information

Program ID

Child(ren)'s Information

Waitlisted Dates & Times

Cancellation Policy

Authorized Pick Up

Emergency Contact

Liability Release