Peekadoodle Art & Sensory Class Registration

Class Information

DATES/TIMES: Wednesdays from 3:30pm-4:15pm Session #2: 11/8/23-12/13/23 (5 class dates *no class on 11/22)

AGES: 15 mo - 30 mo

PRICE: $24/class or $108/session (5 class dates)

*Discounted registration fee of $12/class or $60/session (5 class dates) for Golden Gate Mother’s Group members. Proof of GGMG membership is required on this form.

LOCATION: Peekadoodle, 4228 Geary Blvd, SF, 94118

CLASS STRUCTURE: This class is structured to maintain a balance between guided activities and unstructured exploration and is led by a Peekadoodle preschool teacher.

HOW TO REGISTER:

. Please complete the below registration form below prior to the class start date. Pre-registration is required.

. GGMG members must include proof of GGMG membership on this ofrm to receive the discounted rate.

ADDITIONAL DETAILS:

. Children must be accompanied by one parent/caregiver at all times during the class session.

. Class registration is non-refundable

Class Registration

Please confirm that your child attending the class is between 15 months - 30 months (by the class start date). *

Yes

*You are unable to register for this class if your child is not between 15mo-30mo of age.

Are you a GGMG (Golden Gate Mothers Group) member? *

Yes

Have you signed up for a Peekadoodle Art/Sensory class before at our Geary location? *

Yes

*You do not need to provide proof of GGMG membership again, since you registered for a prior class.

Session #2 Registration: GGMG members, please select your art/sensory class registration. Classes take place on Wednesdays from 3:30pm-4:15pm. Each class session is $60/5 class dates. Individual class sign-ups are $12/class. Payment must be provided on this form in order to confirm your spot.

Session #2: Wed's from 11/8/23-12/13/23 (5 class dates) $60 (0 remaining)

Wed, 11/8/23 (1 class date) $12 (0 remaining)

Wed, 11/15/23 (1 class date) $12 (0 remaining)

Wed, 11/29/23 (1 class date) $12 (0 remaining)

Wed, 12/6/23 (1 class date) $12 (0 remaining)

Wed, 12/13/23 (1 class date) $12 (0 remaining)

Session #2: Please select your class registration. Classes take place on Wednesdays from 3:30pm-4:15pm. Each class session is $108/5 class dates. Individual class sign-ups are $24/class. Payment must be provided on this form in order to confirm your spot.

Session #2: Wed's from 11/8/23-12/13/23 (5 class dates) $108 (1 remaining)

Wed, 11/8/23 (1 class date) $24 (0 remaining)

Wed, 11/15/23 (1 class date) $24 (1 remaining)

Wed, 11/29/23 (1 class date) $24 (1 remaining)

Wed, 12/6/23 (1 class date) $24 (1 remaining)

Wed, 12/13/23 (1 class date) $24 (1 remaining)

*If the date you are registering for is full, please email info@peekadoodle.com to be added to the waitlist.

Please note who will be attending the class with your child. *Only 1 adult/child participant allowed per class session. *

Another Caregiver

Please provide the first and last name of the caregiver who will be attending the class with your child. *

Child's First Name *

Child's Last Name *

Primary Caregiver's First Name *

Primary Caregiver's Last Name *

Child's Date of Birth * +

Email Address *

What is your zip code? *

I grant permission for Peekadoodle to photograph my child while participating in Peekadoodle activities for archival, advertising, or promotional purposes. *

Yes

How did you hear about us?

Please list how you heard about us:

Please provide proof of your GGMG membership in one of two ways:
1. Login to your GGMG homepage, and upload a screenshot of your homepage after you login with the webpage that has your account name and information or a screenshot of your account information from the dashboard.
2. Take a photo of a recent copy of your GGMG magazine with your name and address and upload it below. *

Waiver

A signature is required below to complete registration.

I and my child(ren) may participate in available programs, classes and other activities offered by Peekadoodle (PKC) during my visit, and may use PKC's facilities, upon the express understanding that I accept full responsibility for myself and my child(ren) and hereby waive and release PKC, its employees, agents, officers and directors from any and all claims arising from my family's activities at PKC, and indemnify and hold PKC harmless from and against any and all liabilities, expenses or judgments, including attorneys fees and court costs resulting therefrom. I agree to remain on Peekadoodle premises at all times while my child(ren) are on the premises. By signing below, I acknowledge that I am aware of the risk of injury or illness inherent in any activity or program designed for young children. As the parent or legal guardian of the child above, I understand that Peekadoodle (PKC) is permitting my child to participate in Peekadoodle upon the express understanding that I hereby waive and release PKC, its employees, agents, officers and directors from any and all claims arising from my familys activities at PKC, and indemnify and hold PKC harmless from and against any and all liabilities, expenses or judgments, including attorneys fees and court costs resulting therefrom. I acknowledge that PKC does not have licensed medical staff available onsite and is not obligated to administer any medical care or medications. In the event of an emergency related to my child, I understand PKC will use reasonable efforts to contact me, the named emergency contacts or named family physician. If PKC is unable to reach me or my named contacts, I give permission to PKC to seek whatever medical care the child needs as determined by a PKC employee in her or his sole discretion and hereby release PKC from all liability resulting therefrom. I further agree to be responsible for any and all charges for the emergency medical care. I acknowledge that Peekadoodle is a NUT-FREE facility. *

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