Kids Club Registration

Contact Information * required

First Name *

Last Name *

Contact Phone *

Home Phone *

Work Phone

Mobile Phone *

Email *

Street *

City *

State *

Postal Code *

* Notes

Check one of the two family volunteer options for Kids Club. *

To provide the best experience for all of those involved, families who enroll their child are committing to providing a family member to help with classroom activities at least twice each year.

I will help every week or two I will help twice a year

If you are interested in helping every week or two please check one area of interest. You will receive an email or phone call to discuss your volunteer schedule.

Snack~Set up & clean up after club
Games~Lead games w/help
Crafts~Lead craft activities
Story~Storytelling with a script
Journal/Memory~Room set up & small group support
KIDS CLUB Small group~Travel site to site with group
CLUB56 Leader~ Grades 5&6

Snack Volunteer
Games Volunteer
Crafts Volunteer
Story Volunteer
Journal/Memory Volunteer
Small Group Volunteer
CLUB 56 Large group Leader
CLUB 56 Small group helper

If you will be volunteering twice a year, you will receive an email or phone call to schedule your volunteer times with the children. Please list the best way to contact you, either email or phone number.

The registration fee for the full year is $30 per child for KIDS CLUB. No fee for Preschool/Elementary Child Care. The $30 fee will apply to each child in the family. Fees are waived as needed.

Please choose the number of children you are registering from the drop-down menu below.

Nursery and Preschool/Elementary Age Child Care for volunteers & adult studies. **Age group combinations will vary according to numbers of children registered at each age level.

Infant & Toddler Nursery Care: Weekly capacity 14-18
Preschool/Elementary Age Child Care: Weekly capacity 14-18
KIDS CLUB:
Kindergarten Enrolling 16
Grade 1 & Enrolling 18
Grade 2 Enrolling 18
Grades 3 & 4 Enrolling 20
Question??

Child's Name *

Date of Birth *

Allergies

Special Needs

Grade/Age Group *

Please place with this friend who will be attending KID'S CLUB

Child's Name

Date of Birth

Allergies

Special Needs

Grade/Age Group

Please place with this friend who will be attending KID'S CLUB

Child's Name

Date of Birth

Allergies

Special Needs

Grade/Age Group

Please place with this friend who will be attending KID'S CLUB

Child's name

Date of Birth

Allergies

Special Needs

Grade/Age Group

Please place with this friend who will be attending KID'S CLUB

Child's Name

Date of Birth

Allergies

Special Needs

Grade/Age Group

Please place with this friend who will be attending KID'S CLUB

Total

Pay With
TOTAL	$ 0.00