We'll handle the kid stuff.

Hello Parents!

A Word About KiddieCorp:
Thank you very much for your interest in the American Society of Hematology children's program. Our goal is to provide your children with a program they want to attend, while providing you with that critical "peace of mind" feeling so you can attend your event activities. Please read on to learn more about KiddieCorp, or go straight to the registration form.


Background
KiddieCorp is pleased to provide a children's program for the American Society of Hematology. KiddieCorp is in its twenty-seventh year of providing high quality children's programs and youth services to conventions, trade shows and special events. We take watching your children very seriously. KiddieCorp has enjoyed long-time partnerships with the American Society of Hematology and countless others, which have helped to establish KiddieCorp as a premier provider of event children's program services.

Commitment
Our goal is to provide your children with a comfortable, safe and happy experience. Our staff to child ratios are high to ensure that every child feels special (1:2 for children 6 months to 11 months; 1:3 for children 1 to 2 years; 1:5 for children 3 to 5 years; 1:7 for children 6 to 12 years). KiddieCorp team members are selected according to their integrity, experience, education and enthusiasm. They must be wonderful with kids! You will feel extra secure knowing that the KiddieCorp team is bonded and that we carry ample liability insurance.

Activities - Big Top Circus Bonanza

We provide activities appropriate for each age group, using safe sturdy equipment that you can feel comfortable with. Children can make their own choices within KiddieCorp's program.

Ladies and gentlemen, boys and girls, welcome to the KiddieCorp Big Top Circus Bonanza! This is where you become part of the show. You'll get up close and personal with inflatable circus animals and puppets. We'll have colorful mini circus tents to 'perform' in, and a tunnel to incorporate into the act.

Next, we'll head over to the circus craft table where we can make each other into funny-faced clowns with washable body crayons. We can also make some things to take home; like paper bag hand puppets and tissue paper flowers. You can even get a temporary tattoo!

Our older performers can show off their juggling skills while our younger guests practice their goofy walk and 'clowning around' antics. Everyone can join in on the fun and excitement at the Big Top Circus Bonanza!

Some of the FUN activities your child may participate in:
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ballbullet.gif (983 bytes) Active Playballbullet.gif (983 bytes) Story Timeballbullet.gif (983 bytes) Exciting Themes
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Need More Information?
KiddieCorp is always available by phone, fax, and e-mail to answer any of your questions. Feel free to contact us by phone at 800-942-9947 or by e-mail at info@kiddiecorp.com. You can also visit our website at: http://www.kiddiecorp.com.


We'll handle the kid stuff.

- American Society of Hematology -
December 7-10, 2013

If you prefer to download an Adobe Acrobat version of this form to mail or fax to us,
click here: Acrobat Version of Registration Form.

Where, When, For Whom

The children's program is for children ages 6 months through 12 years old and will be located at the Ernest N. Morial Convention Center in New Orleans, Louisiana. Food and beverages will be provided. If your child has specific dietary requirements, you must provide your own meals.

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. If any children need special attention, please call KiddieCorp directly at (858) 455-1718. Any additional costs will be the responsibility of the parents. The cost for the children's program is $5.00 per hour, per child (2-hour minimum required per child per day).

The pre-registration deadline is November 6, 2013. This form must be completed in its entirety and payment received before registration is confirmed.

Cancellations must be made to KiddieCorp prior to November 6, 2013 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:       At the time of the meeting.
2. Name:       Age:       At the time of the meeting.
3. Name:       Age:       At the time of the meeting.
4. Name:       Age:       At the time of the meeting.

5. Name:       Age:       At the time of the meeting.

 

Dates & Times 
Saturday, December 7          6:30am-7:30pm
Drop-off Time:   am   pm       Pick-up Time:     am pm  
Sunday, December 8         6:30am-8:30pm
Drop-off Time:   am   pm       Pick-up Time:     am pm  
Monday, December 9         6:30am-8:00pm
Drop-off Time:   am   pm       Pick-up Time:     am pm  
Tuesday, December 10         6:30am-1:00pm
Drop-off Time:   am   pm       Pick-up Time:     am pm  

Please provide any additional details in the box below.


Payment in full is required to confirm your reservations. Although every effort will be made to accommodate late or on-site registrations, there is no guarantee that KiddieCorp can accept children unless they are pre-registered. When you arrive at the children's program we will have you complete a consent form.

Calculating Fees & Payment Options:
$5.00 per hour, per child  X # of children  X # of hours* =

*Children must be registered for a minimum of two consecutive hours per child, per day.

KiddieCorp accepts checks and money orders (in U.S. dollars only), MasterCard, Visa and American Express.

If you are paying by credit card, please enter your card number and print a copy of this completed registration form for your records BEFORE you submit on-line. Confirmations will not be sent. If you prefer, you may fax the form to (858) 455-5841.

VISA MASTERCARD AMERICAN EXPRESS
Credit Card #:    Expiration Date:     Verification Code:

If you are paying by check, please print two copies of this completed registration form. Confirmations will not be sent. Keep one copy for your records and mail the other copy along with your check or money order to:

KiddieCorp/ASH
8961 Complex Drive
San Diego, CA 92123
(858) 455-1718