Event Registration Form

PLEASE FILL OUT ONE FORM FOR EACH CHILD

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

Please enter a valid phone number.Format: (000) 000-0000.

E-mail

example@example.com

Father's Name

First NameLast Name

Father's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

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 FOR SCHOOLS OUT SERIES:

USE CODE 3DAYS to get 3 days of school break camp for $195

USE CODE 5DAYS to get 5 days of school break camp for $300

USE CODE 10DAYS to get 10 days of school break camp for $550

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.

10/12-KIDZ COURSE CAMP-SCHOOLS OUT SERIES- DROP OFF ONLY

$20.00

	Quantity	Price
BEFORECARE 9:00-10:00		$20.00
CAMP 10:00-2:00		$70.00
OPEN PLAY 2:00-3:00		$20.00
FARM ANIMALS 3:00-4:00		$35.00
FALL FAIR 4:00-5:15		$25.00

MONDAY-10/12-3:00-4:00 -FARM ANIMAL FUN- DROP OFF OPTIONAL

Want to feed and pet animals without having to trek all way to the farm? Stop by the Kidz Course Fall Fair and not only get to meet our horse, chickens, and bunnies, but hang out in the play gym for some active fun also!

$35.00

MONDAY-10/12-4:00-5:15- KIDZ COURSE CARNIVAL-DROP OFF OPTIONAL

Enjoy the fun of a fall fair without having to travel far- apple crafting, facepainting, cotton candy, and of course play gym fun!

$25.00

THURSDAY 10/15 1:00-2:30 MAMAS & MOCHAS

Join our free open play for new mothers with children under the age of 2! Connect with other local moms, sit back & relax while we play with your kiddo in the play gym or come play with us!

Free

TUESDAY 10/20 10:00-11:30 WIZARDS & WITCHES POTION PLAY

Kids will create their very own witches & wizards potion, mixing colorful ingredients and watching the magic come to life! After creating their potions, they’ll have plenty of time to run, climb, explore, and play in the Kidz Course play gym!

$25.00

FRIDAY 10/23 4:30-6:00 HALLOWEEN SQUISHIES

Kids will create their very own Halloween-themed squishy, choosing fun spooky details and bringing their creation to life! After making their squishies, they’ll have some time to run, climb, explore, and play in the Kidz Course play gym!

$25.00

SUNDAY 10/25 10:00-11:30 HALLOWEEN SQUISHIES

Kids will create their very own Halloween-themed squishy, choosing fun spooky details and bringing their creation to life! After making their squishies, they’ll have some time to run, climb, explore, and play in the Kidz Course play gym!

$25.00

SATURDAY 10/24- 10:00-11:30 HALLOWEEN FLYNOTES WITH MRS.KRYSTA

Flynotes Music with Mrs. Krysta brings music to life HALLOWEEN EDITION. Join us for holiday themed music and fun!!!

$40.00

SATURDAY 10/24- 6:30-9:00 PM PARENTS' NIGHT OUT

Drop the kids off for a spooktacular night at Kidz Course! 🎃 They’ll enjoy Halloween-themed play gym fun, games, activities, pizza, dessert, and a movie while parents enjoy a night out! Costumes encouraged! 👻

$40.00

TUESDAY 10/27 10:00-11:30 WIZARDS & WITCHES POTION PLAY

Kids will create their very own witches & wizards potion, mixing colorful ingredients and watching the magic come to life! After creating their potions, they’ll have plenty of time to run, climb, explore, and play in the Kidz Course play gym!

$25.00

FRIDAY 10/30 10:00-11:30 COSTUME OPEN PLAY

Come try out your costume before the big day!!! Our costume themed open play will include a halloween activity, costume parade, open play gym time & more!

$25.00

11/3-KIDZ COURSE CAMP-SCHOOLS OUT SERIES

$15.00

	Quantity	Price
BEFORECARE 8:00-9:00		$15.00
BEFORECARE 9:00-10:00		$20.00
CAMP 10:00-2:00		$70.00
AFTERCARE 2:00-3:00		$20.00
AFTERCARE 3:00-4:00		$15.00
AFTERCARE 4:00-5:15		$12.00

11/11-KIDZ COURSE CAMP-SCHOOLS OUT SERIES

$15.00

	Quantity	Price
BEFORECARE 8:00-9:00		$15.00
BEFORECARE 9:00-10:00		$20.00
CAMP 10:00-2:00		$70.00
AFTERCARE 2:00-3:00		$20.00
AFTERCARE 3:00-4:00		$15.00
AFTERCARE 4:00-5:15		$12.00

11/25-KIDZ COURSE CAMP-SCHOOLS OUT SERIES

$15.00

	Quantity	Price
BEFORECARE 8:00-9:00		$15.00
BEFORECARE 9:00-10:00		$20.00
CAMP 10:00-2:00		$70.00
AFTERCARE 2:00-3:00		$20.00
AFTERCARE 3:00-4:00		$15.00
AFTERCARE 4:00-5:15		$12.00

11/27-KIDZ COURSE CAMP-SCHOOLS OUT SERIES

$15.00

	Quantity	Price
BEFORECARE 8:00-9:00		$15.00
BEFORECARE 9:00-10:00		$20.00
CAMP 10:00-2:00		$70.00
AFTERCARE 2:00-3:00		$20.00
AFTERCARE 3:00-4:00		$15.00
AFTERCARE 4:00-5:15		$12.00

12/23-KIDZ COURSE CAMP-SCHOOLS OUT SERIES

$15.00

	Quantity	Price
BEFORECARE 8:00-9:00		$15.00
BEFORECARE 9:00-10:00		$20.00
CAMP 10:00-2:00		$70.00
AFTERCARE 2:00-3:00		$20.00
AFTERCARE 3:00-4:00		$15.00
AFTERCARE 4:00-5:15		$12.00

12/28-KIDZ COURSE CAMP-SCHOOLS OUT SERIES

$15.00

	Quantity	Price
BEFORECARE 8:00-9:00		$15.00
BEFORECARE 9:00-10:00		$20.00
CAMP 10:00-2:00		$70.00
AFTERCARE 2:00-3:00		$20.00
AFTERCARE 3:00-4:00		$15.00
AFTERCARE 4:00-5:15		$12.00

12/29-KIDZ COURSE CAMP-SCHOOLS OUT SERIES

$15.00

	Quantity	Price
BEFORECARE 8:00-9:00		$15.00
BEFORECARE 9:00-10:00		$20.00
CAMP 10:00-2:00		$70.00
AFTERCARE 2:00-3:00		$20.00
AFTERCARE 3:00-4:00		$15.00
AFTERCARE 4:00-5:15		$12.00

12/30-KIDZ COURSE CAMP-SCHOOLS OUT SERIES

$15.00

	Quantity	Price
BEFORECARE 8:00-9:00		$15.00
BEFORECARE 9:00-10:00		$20.00
CAMP 10:00-2:00		$70.00
AFTERCARE 2:00-3:00		$20.00
AFTERCARE 3:00-4:00		$15.00
AFTERCARE 4:00-5:15		$12.00

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