Black Hat Registration Form

Invoice Number
Black Hat Children's Program
We are delighted to announce that KiddieCorp will be hosting the children's program during the Black Hat USA. With thirty-eight years of experience, KiddieCorp has been a trusted provider of high-quality children's programs and youth services for conventions, trade shows, and special events.

KiddieCorp has solidified its position as a leading provider of children’s program services through its endorsement and longstanding partnership with the American Academy of Pediatrics. Our top priority is the care of your children, ensuring they not only enjoy themselves but also receive exceptional care.

CHILDREN'S PROGRAM DETAILS

Date and Hours:

August 6th: 8:00 a.m. to 6:00 p.m.

August 7th: 8:00 a.m. to 6:00 p.m.

August 8th: 8:00 a.m. to 6:00 p.m.

Location:

Mandalay Bay Resort and Casino in Las Vegas, Nevada.

Ages:

6 weeks through 17 years old

Ratios:

1:2 for children ages 6 weeks through 5 months old

1:2 for children ages 6 months through 11 months old

1:3 for children ages 1 through 2 years old

1:5 for children ages 3 through 5 years old

1:7 for children ages 6 through 12 years old

1:10 for children ages 13 through 17 years old

Cost:

$10.00 per hour, per child

We encourage early registration as availability is limited and operates on a first-come, first-served basis. To secure advance reservations, both the registration form and full payment must be received by KiddieCorp. On-site registration will be limited to available space.

MEALS/SNACKS

Snacks, lunch, and water will be provided. You also have the option to sign your child out to take them to lunch or drop off a meal at the program.

KiddieCorp's program is nut-free. We kindly request that you refrain from bringing any snacks or meals containing nuts or nut products.

ACTIVITIES
Activities include exciting themes, arts & crafts, group games, music & movement, board games, story time, dramatic play, etc. We tailor activities to suit each age group appropriately.

TEAM MEMBERS

Our goal is to provide your children with a comfortable, safe, and happy experience. KiddieCorp team members are selected according to their integrity, experience, education, and enthusiasm. Every program has a CPR/First aid certified manager that is on site at all time.

REGISTRATION TERMS AND CONDITIONS

Additional information for parents:
- KiddieCorp staff does not administer medication, including sunscreen.
- For the safety and enjoyment of all, children who are ill will not be admitted to the program.
- Please label your child's belongings. While we maintain a lost and found, KiddieCorp does not assume responsibility for lost or stolen items.
- Parents with infants, kindly bring diaper changing supplies, formula/baby food, and a change of clothes for your child's comfort.
NEED MORE INFORMATION?

KiddieCorp is available to answer any questions. Feel free to contact KiddieCorp by phone at (858) 455-1718 or by e-mail at info@kiddiecorp.com.
Parent Information
Parent Name*

First NameLast Name
Parent Name

First NameLast Name
E-mail Address*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Does your child(ren) have any health limitations or allergies.*

YesNo
Please be as detailed as possible.
Does your child(ren) have any special needs under the Americans with Disabilities Act?*

YesNo
Please list the special needs and specify which child is impacted if you have multiple children.
Child(ren)'s Information
How many children would you like to register:*
Child 1 First Name*
Child 1 Last Name*
Age at time of program*
Child 2 First Name
Child 2 Last Name
Age at time of program
Child 3 First Name
Child 3 Last Name
Age at time of program
Child 4 First Name
Child 4 Last Name
Age at time of program
Program Fee
The fee is $10.00 per hour, per child

KiddieCorp accepts MasterCard, Visa, American Express, & Discover.

Payment in full is required to confirm your reservation. Please make sure to bring a photo ID with you to the children's program. A photo ID will be required for check-in and check-out of children.
Dates & Times

Please add drop off and pick up times for each day your child(ren) is attending the program.
Tuesday, August 6th: 8:00 a.m. to 6:00 p.m.

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Wednesday, August 7th: 8:00 a.m. to 6:00 p.m

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Thursday, August 8th: 8:00 a.m. to 6:00 p.m

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Total Hours Used
Weekly Total
Additional Information
Payment Information
# of Children
Cost Per Hour
Total Fee(Hidden)

Total Fee*

USD

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Cancellation Policy
Cancellations must be made to KiddieCorp prior to July 30, 2024 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.
Should be Empty:

Black Hat Children's Program

Parent Information

Child(ren)'s Information

Program Fee

Dates & Times

Payment Information

Cancellation Policy