Peekadoodle Art / Sensory Class Registration

Class Information

Peekadoodle is offering a weekly art/sensory class for children ages 15 mo – 36 mo. This includes 30 minutes of art and sensory play/activities in a classroom (this is an unstructured class) and 30 minutes of free play in our indoor playroom and outdoor play area.
 
DATES: Tuesdays from 3:45-4:45pm (January 14, 2020 – June 9, 2020)
 
SCHEDULE:
3:45-4:15pm: open-ended art and sensory play/activities in a preschool classroom (this is not instructor led)
4:15-4:45pm: free play in our indoor playroom and outdoor play area
 
PRICING:  $15/per class per child (*GGMG members and current Peekadoodle families- see discounted rate below) 
 
LOCATION: Peekadoodle, 4228 Geary Blvd, SF, 94118 
 
HOW TO REGISTER:
. Please complete the registration form below prior to the class start date/time. Advanced registration is required.
. GGMG members receive a discounted registration rate of $5/child and must include proof of GGMG membership when completing this form.  Current Peekadoodle preschool students (or siblings of) receive a discounted $5/child registration rate. 
. Class registration is non-refundable, but can be transferred to another week's class (provided space is available)
 
ADDITIONAL DETAILS: 
. Child must be between the ages of 15 mo - 36 mo

Class Registration

Please confirm that the child attending the class is between 15 months - 36 months (by the class start date). *
*You are unable to register for this class if your child is not between 15mo-36mo of age.
Is your child currently a Peekadoodle preschool student (or have a sibling who is)? *
Are you a GGMG (Golden Gate Mothers Group) member? *
Have you previously registered for a class AT OUR GEARY LOCATION and provided us with GGMG proof? *
Have you previously registered for a class AT OUR GEARY LOCATION? *
Please select your art/sensory class registration day/s. All classes run on Tuesdays from 3:45pm-4:45pm and cost $15/class. Payment must be provided on this form in order to confirm your spot. *Payment is non-refundable but can be transferred to another week's class provided space is available. *
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GGMG members, please select your art/sensory class registration day/s. All classes run on Tuesdays from 3:45pm-4:45pm and cost $5/class for GGMG members. Payment must be provided on this form in order to confirm your spot. *Payment is non-refundable but can be transferred to another week's class provided space is available. *
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Peekadoodle families, please select your art/sensory class registration day/s. All classes run on Tuesdays from 3:45pm-4:45pm and cost $5/child per class for current Peekadoodle families. Payment must be provided on this form in order to confirm your spot. *Payment is non-refundable but can be transferred to another week's class provided space is available. *
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I grant permission for Peekadoodle to photograph my child while participating in Peekadoodle activities for archival, advertising, or promotional purposes. *
Please note who will be attending the art/sensory class with your child. *

Proof of GGMG


Waiver

A signature is required below for participation.


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. *
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