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.

E-mail

example@example.com

Father's Name

First NameLast Name

Father's Phone Number

Please enter a valid phone number.

Emergency Contact

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.

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

2/25-9:15-10:45-STRONG MOMS WORKOUT CHILDCARE Product Image

2/25-9:15-10:45-STRONG MOMS WORKOUT CHILDCAREDrop off your child for a fun morning while you work with our Coach Lori down the road at Revolution Fitness! Stay for open play until 11:30 to mingle with your friends for an additional $8!

$20.00

	Quantity	Price
DROP OFF		$20.00
OPEN PLAY		$8.00

2/26-10:30-11:30-YLV Book Club Product Image

2/26-10:30-11:30-YLV Book ClubJoin Sensory By Savannah for a guided storytime and play experience. Children will enjoy reading, sensory activities, a simple craft, and open play in a supportive, welcoming environment. EVENT IS NOT FREE- REGISTER HERE and we will send you a payment link.

$ Free

2/26- 11:30-12:30-FREE MOMS SUPPORT GROUPA free support group for moms of babies 1 year or less.

$ Free

2/26-6:30-10:00- SAND CITY SOCCER PARENTS' NIGHT OUT Product Image

2/26-6:30-10:00- SAND CITY SOCCER PARENTS' NIGHT OUT Send your kids to a night out—while your kids enjoy a fun-filled evening at Kidz Course! Our Parent’s Night Out includes games, activities, a 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

$45.00

2/28-2:30-4:00-ELSA OPEN PLAY Product Image

2/28-2:30-4:00-ELSA OPEN PLAYSing, play, and dance with Elsa as she brings sparkle and snowy fun to open play!

$25.00

2/28-4:30-6:00-PIZZA PARTY Product Image

2/28-4:30-6:00-PIZZA PARTYJoin Sensory By Savannah for a PIZZA PARTY Celebration with play, creativity, and pizza themed fun! EVENT IS NOT FREE- REGISTER HERE and we will send you a payment link.

$ Free

3/1-5:30-6:30- INCLUSIVE PLAY HOUR Product Image

3/1-5:30-6:30- 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

3/2-10:30-12:00-CAT IN THE HAT PLAY Product Image

3/2-10:30-12:00-CAT IN THE HAT PLAYJoin Sensory By Savannah for a CAT IN THE HAT play celebration! Includes crafts, open play and cat in the hat themed activities. EVENT IS NOT FREE- REGISTER HERE and we will send you a payment link.

$ Free

3/4-9:15-10:45-STRONG MOMS WORKOUT CHILDCARE Product Image

3/4-9:15-10:45-STRONG MOMS WORKOUT CHILDCAREDrop off your child for a fun morning while you work with our Coach Lori down the road at Revolution Fitness! Stay for open play until 11:30 to mingle with your friends for an additional $8!

$20.00

	Quantity	Price
DROP OFF		$20.00
OPEN PLAY		$8.00

3/6-10:00-11:30-PLAY WITH COOKIE MONSTER Product Image

3/6-10:00-11:30-PLAY WITH COOKIE MONSTERMeet & greet with Cookie Monster! Get moving with music, dancing, character inspired activities and open play!

$25.00

3/12- 11:30-12:30-FREE MOMS SUPPORT GROUPA free support group for moms of babies 1 year or less.

$ Free

3/14-6:30-9:00- PARENTS' NIGHT OUT Product Image

3/14-6:30-9:00- PARENTS' NIGHT OUT Send your kids to a night out—while your kids enjoy a fun-filled evening at Kidz Course! Our Parent’s Night Out includes games, activities, a 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

3/15-10-11:30-LEPRECHAUN TRAP BUILDING Product Image

3/15-10-11:30-LEPRECHAUN TRAP BUILDINGBuild a leprechaun trap to catch a sneaky little friend & protect your gold. Join us for some St. Patrick's themed fun and open play!

$25.00

3/20-6:30-9:00-FORT SALONGA PTA PARENT'S NIGHT OUT Product Image

3/20-6:30-9:00-FORT SALONGA PTA PARENT'S NIGHT OUT Send your UPK-1st grade kiddies to a fun-filled evening at Kidz Course! Our Parent’s Night Out includes games, activities, a fun in a safe, engaging environment. Drop the kids off while we handle the rest. DROP OFF EVENT

$40.00

3/21-6:30-9:00-FORT SALONGA PTA PARENT'S NIGHT OUT Product Image

3/21-6:30-9:00-FORT SALONGA PTA PARENT'S NIGHT OUT Send your 2nd & 3rd grade kiddies to a fun-filled evening at Kidz Course! Our Parent’s Night Out includes games, activities, a fun in a safe, engaging environment. Drop the kids off while we handle the rest. DROP OFF EVENT

$40.00

3/26- 11:30-12:30-FREE MOMS SUPPORT GROUPA free support group for moms of babies 1 year or less.

$ Free

3/29-4:30-6:00- INCLUSIVE PLAY HOUR Product Image

3/29-4:30-6:00- 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

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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