aacrkids

We'll handle the kid stuff.	Children's Program Registration Form - American Association for Cancer Research - April 18-22, 2009

There are two ways you can register for the children's program:
1. Complete and submit the online form listed below.
2. Download the Adobe Acrobat version of this form to mail or fax to us, click here:
Acrobat Version of Registration Form.
It is not necessary to do both.

Where, When, For Whom

The children's program is for children ages 6 months through 12 years old and will be located at the Colorado Convention Center in Denver, Colorado. Snacks and beverages will be provided. Meals must be supplied by parents. Medication will NOT be administered by KiddieCorp. Be sure to fill out the following form COMPLETELY. To ensure a safe and fun-filled environment, any child who is ill will not be admitted to the children's program. The cost for the children's program is $6.00 per hour, per child (2-hour minimum required per child, per day).

The advance registration deadline is March 20, 2009. Register early as availability is limited and handled on a first-come, first-served basis. This form must be completed in its entirety and payment received before registration is confirmed.

Cancellations must be made to KiddieCorp prior to March 20, 2009 for a full refund. Cancellations made after that date will be subject to a 50% cancellation fee. Once the program has begun, no refunds will be issued.

Parent Information:

Parent Name(s):

Home Phone:

Work Phone:

E-mail Address:

Full Mailing Address:

Check here if your child(ren) has/have any special needs under the Americans with Disabilities Act. We will contact you so that we may make appropriate arrangements to accommodate your child. Please provide details in the box below.

Check here if any of your children have health limitations or special needs. Please let us know so that we may ensure your child(ren)'s needs are met. Please provide details in the box below.

Child(ren)'s Names and Ages:

1. Name: Age:

2. Name: Age:

3. Name: Age:

4. Name: Age:

5. Name: Age:

Dates & Times:

Saturday, April 18 -- 7:00am to 6:00pm