Check, Please! Bay Area Kids Application

Email*

Child's Name*

First Name

Last Name

Child's Age (must be between 10-14 years)*

Child's Birthdate*

Parent/Guardian's Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Parent/Guardian's Phone*

Child's School (name, location, grade)*

Child's Extracurricular Activities/Passions*

I understand my child and I must be able to travel within a 50 mile radius of San Francisco to review two other Bay Area restaurants.*

Yes No

List any of your child’s food allergies or dietary restrictions*

Favorite Restaurants

What are your child's three favorite Bay Area restaurants? (preferably established for at least 2 years)

Applicants cannot be affiliated with any of their suggested restaurants.

Be sure to check out Restaurants A-Z to make sure we haven't already reviewed your suggestion!

Restaurant #1

Name of Restaurant*

Restaurant Address*

City*

Type of Cuisine*

Restaurant #2

Name of Restaurant*

Restaurant Address*

City*

Type of Cuisine*

Restaurant #3

Name of Restaurant*

Restaurant Address*

City*

Type of Cuisine*

What do you love about Check Please Bay Area? (child completes answer in own words)*

What makes your top two restaurants special to you? Give us your review! (child completes answer in own words)*

maximum 2500 characters

Please share a photo of your child (selfie or profile pic is fine)*

No File Chosen

File uploads may not work on some mobile devices.

If you’d like to share a video where your child’s personality really shines (in about 30 seconds or less!) please add the link below (optional)

Parental/Guardian Consent: You confirm that you are a parent or guardian of the minor named above, and that you consent to this grant of rights to KQED on their behalf.*

Check this box to acknowledge the above statements.

A copy of your responses will be emailed to the address you provided.