Play Club Registration (2026 Fall: Sept-Dec)

Play Clubs are supervised "playdate" experiences where Play And Talk With Us staff facilitate theme-based activities.

Each Play Club welcomes up to 12 children. 

There will be 2-4 P&T staff members facilitating and supervising play.

An enrollment confirmation email and invoice will be sent via email, typically within 72 hours. 

Families new to Play And Talk With Us are welcome to register. Your child's spot will be reserved while you complete our intake process. Final confirmation and registration will take place upon review of intake forms.
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Email *
Child's Name: *
Parent/Guardian Name *
Parent Phone Number *
Home Address (# Street, Town, Zip Code) *
List any allergies or medical conditions we should know about. *
ALLERGY OR MEDICAL EMERGENCY ACTION PLAN: Is there an emergency action plan that has been prepared by a healthcare provider for these allergies or medical conditions? If yes, please email the plan to Kristina Quigley at kristina@playandtalkwithus.com
 *
Are you a returning family or a new family? *
What is your child's current grade? *
Child's DOB *
MM
/
DD
/
YYYY
What Play Club would you like to enroll your child in? 

NOTE: 
- Preschool-Grade 1 meet from 4:30-5:45. 
- Grade 2-8 meet from 6:00-7:45 (children in this age range are broken into age appropriate groups when they attend)
 *
Required
PAYMENT PREFERENCE: Do not submit payment until you receive an email confirmation which will include payment information. Confirmation will typically go out within 48 hours. 

FEE PER CLASS: 
Preschool-Grade 1, $37.50/club date (1.25 hour event)
Grades 2 & Up, $52.50/club date (1.75 hour event)
 *
PHOTO RELEASE: I give permission for photographs to be taken of my child while participating in social skills groups for the following purposes (check all that apply):
 *
Required
EMERGENCY CONTACT: List two emergency contacts. Please include name, relation to child, and phone number.
 *
Who is allowed to pick up/drop off your child? Include relationship to child.
 *
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