Mastermind Summit
Kids Program Enrollment



Special Events
Conventions
Corporate Events
Theme Parties

 LOCAL:
(619)303-4379
TOLL FREE:
(888)891-5029
 
 
 
Parent First Name* Parent Last Name* Email Address*
Parent Cell Phone* Parent Home Phone Parent Work Phone
(xxx)xxx-xxxx (xxx)xxx-xxxx (xxx)xxx-xxxx
Complete Mailing Address  
Please list the names of any other parties (additional parent, friend) who will be permitted to pick-up child(ren) from the children's program. (Children will not be released to anyone not listed on this form.)
Child #1 Name* Gender* Age*

T-Shirt Size
(if going on Tours)

Child #2 Name Gender Age T-Shirt Size
Child #3 Name Gender Age T-Shirt Size
Child #4 Name Gender Age T-Shirt Size
Does any of your children have an allergy (to food, etc.), health limitation, or special need?  Are any of your children taking medication for any reason? If yes, please explain:

                        Note: Playtime Pros does not administer medicine.
Please let us know about 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.

SUNDAY EVENING ON-SITE PROGRAM (AGES 0-12)

Drop-off time Pick-up Time # Hours # Children TOTALS
x

* We have a three-hour minimum for
each time of service (morning, afternoon, etc.).

MONDAY ON-SITE PROGRAM (AGES 0-6)

Drop-Off Pick-Up # Hours # Children  
x =

Parents are required to provide lunch for their children.  You may provide a box lunch or pick up your child at lunchtime.  The adult program lunch break begins at noon and will last approximately two hours.  For a second Monday session, complete below:

x =

MONDAY SAN DIEGO ZOO TOUR (AGES 6-12)

Drop-Off Pick-Up     # Children

Drop off
by 8:30

 Pick up
by 6:00 p.m.

Includes one T-shirt, transportation, admission, snack, and lunch.

TUESDAY ON-SITE PROGRAM (AGES 0-6)

Drop-Off Pick-Up # Hours # Children  
x =

Parents are required to provide lunch for their children.  You may provide a box lunch or pick up your child at lunchtime.  The adult program lunch break begins at noon and will last approximately two hours.  For a second Tuesday session, complete below:

x =

TUESDAY LEGOLAND TOUR (AGES 6-12)

Drop-Off Pick-Up     # Children
Drop off
by 8:30		 Pick up
by 6:00 p.m.

Includes one T-shirt, transportation, admission, snack, and lunch.
ENROLLMENT TOTALS:
 
  Per Hour Quantity Total
On-Site Childcare - Mastermind Summit $13.00
  Per Tour Quantity Total
Children's Tours - Mastermind Summit $160.00
 

  • IMPORTANT:  In order to expedite the registration process, please print and complete our consent forms.  Fax to (866) 287-4450 or mail to Playtime Pros, 10491 Pine Grove Street, Spring Valley, CA  91978.
     

  • If you are paying by check, print two copies of this completed registration form. Confirmations will not be sent. Keep one copy for your records and mail the other copy, the consent forms, and your check or money order to: Playtime Pros, 10491 Pine Grove Street, Spring Valley, CA  91978.

  
     
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