Event Registration Form

Child's Name

First NameLast Name

Birth Date

MonthDayYear

Gender

Address

Street Address

Street Address 2

CityState / Province

Postal / Zip Code

Parent's Name

First NameLast Name

Parent Phone Number

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E-mail

example@example.com

Father's Name

First NameLast Name

Father's Phone Number

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Emergency Contact

First NameLast Name

Emergency Contact Phone Number

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ALLERGIES/SPECIAL CONSIDERATIONS

Some of our events are Drop Off Optional and some are Drop Off Only. Please Read the Description to See Which Ones Are Applicable. If it is OPTIONAL, please indicate whether you plan to Drop or Stay.

COUPON CODES

USE CODE 2EVENTS for $5 off of Two Events!

USE CODE 3EVENTS for $10 off of Three Events!

HAVE MULTIPLE CHILDREN?? PLEASE REGISTER YOUR FIRST CHILD AT THE FULL PRICE, and USE CODE SIBLING20 for 20% off your additional children!

IF YOU DO NOT SEE THE SUBMIT BUTTON, YOU HAVE NOT SELECTED ANY EVENTS. ON MOBILE VERSION, YOU MUST CLICK ON THE BLACK TEXT OF THE EVENT UNTIL YOU SEE THE CHECKED BOX TURN BLUE.

My Products

1/19- MLK DAY CAMP 2Join us for OUR MAD SCIENTIST WORKSHOP, COZY CHEFS KITCHEN, & PENGUIN PLAY TIME! COMING FOR MORE THAN ONE EVENT BACK TO BACK? You may stay through the intermission. IF YOU NEED BEFORE OR AFTER CARE- choose the number of hours you need below, and then indicate which hours in the ADDITIONAL COMMENTS field. DROP OFF OPTIONAL

$27.00

	Quantity	Price
Mad Scientist Workshop		$27.00
Cozy Chef's Kitchen		$37.00
Penguin Play Time		$27.00
Before Care (Choose 1 or 2 hrs)		$20.00
After Care (Choose 1, 2, or 3 hrs)		$20.00

1/28- 11:00-12:00PM- BABIES & BAGELS Product Image

1/28- 11:00-12:00PM- BABIES & BAGELSFREE EVENT Build your village with this POSTPARTUM SUPPORT GROUP. Enjoy bagels and refreshments while connecting with other moms. A wonderful opportunity to share experiences, make friends, and gain & give much needed support among strong mothers.

$ Free

2/1-4:30-6:00- INCLUSIVE PLAY HOUR Product Image

2/1-4:30-6:00- INCLUSIVE PLAY HOUREnjoy a fun & supportive free-play environment where your little learner can shine! Try out our jungle gym and activity stations! NOT A DROP OFF EVENT

$20.00

2/7-4:30-6:00 PM SPECIAL SOMEONE SPA DAY Product Image

2/7-4:30-6:00 PM SPECIAL SOMEONE SPA DAYPampering and Bonding is the sweetest VALENTINE! Join us for a Valentine's Day Themed Spa Event to enjoy QUALITY TIME with your favorite little one! NOT A DROP OFF EVENT

$40.00

2/8- 10:00-11:30 DADS, DATES, & DONUTS Product Image

2/8- 10:00-11:30 DADS, DATES, & DONUTSCelebrate Valentine’s Day with a sweet twist at Dad’s, Dates, & Donuts! Join us for a fun-filled morning of donut decorating, playful games, and special bonding time for dads (or any grown-ups) and their little ones. A perfect way to make sweet memories together! NOT A DROP OFF EVENT

$40.00

2/14-6:30-9:00- PARENTS' NIGHT OUT- VALENTINES DAY Product Image

2/14-6:30-9:00- PARENTS' NIGHT OUT- VALENTINES DAYCelebrate Valentine’s Day with a night out—while your kids enjoy a fun-filled evening at Kidz Course! Our Valentine’s Day Parent’s Night Out includes games, activities, and festive fun in a safe, engaging environment. Drop the kids off and enjoy a worry-free date night while we handle the rest. DROP OFF EVENT

$40.00

2/16- FEBRUARY BREAK CAMPJoin us for BREAKFAST BUDDIES, REPTILE DISCOVERY, AND NORTH POLE PLAY GYM! COMING FOR MORE THAN ONE EVENT BACK TO BACK? You may stay through the intermission. IF YOU NEED BEFORE OR AFTER CARE- choose the number of hours you need below, and then indicate which hours in the ADDITIONAL COMMENTS field. DROP OFF OPTIONAL

$27.00

	Quantity	Price
BREAKFAST BUDDIES		$27.00
REPTILE DISCOVERY		$37.00
NORTH POLE PLAY GYM		$27.00
Before Care (Choose 1 or 2 hrs)		$20.00
After Care (Choose 1, 2, or 3 hrs)		$20.00

2/17- FEBRUARY BREAK CAMP Join us for DRAGON PALS, STUFF-A-PET-HUSKY, AND FROSTY FUN OPEN PLAY! COMING FOR MORE THAN ONE EVENT BACK TO BACK? You may stay through the intermission. IF YOU NEED BEFORE OR AFTER CARE- choose the number of hours you need below, and then indicate which hours in the ADDITIONAL COMMENTS field. DROP OFF OPTIONAL

$27.00

	Quantity	Price
DRAGON PALS		$27.00
STUFF-A-PET-HUSKY		$37.00
FROSTY FUN OPEN PLAY		$27.00
Before Care (Choose 1 or 2 hrs)		$20.00
After Care (Choose 1, 2, or 3 hrs)		$20.00

2/18- FEBRUARY BREAK CAMP Join us for MIX IT UP-COOKING CLASS, TEACUP PIGGIES, & POLAR PALS PLAY GYM! COMING FOR MORE THAN ONE EVENT BACK TO BACK? You may stay through the intermission. IF YOU NEED BEFORE OR AFTER CARE- choose the number of hours you need below. DROP OFF OPTIONAL

$27.00

	Quantity	Price
MIX IT UP! COOKING CLASS		$27.00
TEACUP PIGGIES		$37.00
POLAR PALS PLAY GYM		$27.00
Before Care (Choose 1 or 2 hrs)		$20.00
After Care (Choose 1, 2, or 3 hrs)		$20.00

2/19- FEBRUARY BREAK CAMP Join us for SENSORY WATER BOTTLES, MARVELOUS MAGICIAN, & CHILL CHALLENGE TRIVIA! COMING FOR MORE THAN ONE EVENT BACK TO BACK? You may stay through the intermission. IF YOU NEED BEFORE OR AFTER CARE- choose the number of hours you need below. DROP OFF OPTIONAL

$27.00

	Quantity	Price
SENSORY WATER BOTTLES		$27.00
MARVELOUS MAGICIAN		$37.00
CHILL CHALLENGE TRIVIA		$27.00
Before Care (Choose 1 or 2 hrs)		$20.00
After Care (Choose 1, 2, or 3 hrs)		$20.00

2/20- FEBRUARY BREAK CAMP Join us for DIY SNOW MAKING, PUPPY YOGA, ARTIC ADVENTURE PLAYTIME! COMING FOR MORE THAN ONE EVENT BACK TO BACK? You may stay through the intermission. IF YOU NEED BEFORE OR AFTER CARE- choose the number of hours you need below. DROP OFF OPTIONAL

$27.00

	Quantity	Price
DIY SNOW MAKING		$27.00
PUPPY YOGA		$37.00
ARTIC ADVENTURE PLAYTIME		$27.00
Before Care (Choose 1 or 2 hrs)		$20.00
After Care (Choose 1, 2, or 3 hrs)		$20.00

VIP PRIVATE PLAYDATEEnjoy PRIVATE use of the space and PLAY GYM for 10 kiddos! Play Date including 10 friends: $200.00 Pay this deposit, and then you will be billed for the difference. Each additional child can register separately here for $20.00 CALL 1-888-809-KIDZ or EMAIL thekidzcourse@gmail.com to select your date and time! DROP OFF OPTIONAL

$20.00

	Quantity	Price
BOOK YOUR DATE		$20.00
Add on Additional Child		$20.00

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Subtotal

$0.00

Tax

$0.00

Total

$0.00

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