TO AVOID DELAY IN ENROLLMENT, PLEASE COMPLETE THIS FORM IN IT'S ENTIRETY!
Child Information & Consents:
UPLOAD:
1. Proof of birth (BIRTH CERTIFICATE), recent immunizations, and last physical/well visit. Your child CANNOT START UNTIL RECEIVED!
2. Parents are required to obtain these documents. ADVENTURE CLUB DOES NOT REQUEST DOCUMENTS FROM THE SCHOOLS! Click this link to complete needed forms if you have not done so already for the school:
School Entrance Health Form (PDF)
-- THESE MUST BE COMPLETED BY YOUR CHILD'S PHYSICIAN.
3. YOU MAY UPLOAD THEM BELOW, FAX to 540-382-6529 , SCAN & EMAIL to: [email protected] OR upload them to your Parent Portal APP (Link sent upon enrollment)
1st Child Info:
UPLOAD MEDICAL DOCUMENTS HERE:
(Subsidy families pay enrollment fees if DSS does not)
2nd Child Info:
UPLOAD MEDICAL DOCUMENTS HERE:
(Subsidy families pay enrollment fees if DSS does not)
3rd Child Info:
UPLOAD MEDICAL DOCUMENTS HERE:
(Subsidy families pay enrollment fees if DSS does not)
4th Child Info:
UPLOAD MEDICAL DOCUMENTS HERE:
(Subsidy families pay enrollment fees if DSS does not)
Medical Information & Consents:
In the event your child sustains an injury while in our care but is NOT transported to the hospital or doctor from our site location, you agree to contact the main office (540-382-3783) within 24 hrs should you decide at a later time to take your child to the hospital or doctor to be evaluated. Per Virginia State Licensing Standards, The Adventure Club is mandated to report any medical treatment sought for the child's injury after the child has been picked up from our program.
Parent/Guardian Information:
1st Parent Info
1st Parent (Primary Payer):
2nd Parent Info
2nd Parent:
Authorized Emergency Contacts:
MUST Provide 2 Emergency Contacts that live within 1 hr of child's location. CANNOT BE PARENT/GUARDIANS!
Parental Agreements:
Payment Policies
VERY IMPORTANT ~ PLEASE READ THROUGH CAREFULLY
* NO-PAUSE TUITION ~ Services provided for school sites are retained per contractual agreements with MCPS, therefore tuition fees are charged continuously during each semester (both Fall & Spring).
* ADD-ON DAY FEES ~ Attendance on NON-SCHOOL DAYS of care requires an add-on day fee as outlined in our rate sheet and will be auto debited within 1 business day. ALL full days of care will be hosted at 77 Scattergood Drive in Christiansburg.
* UNPAID TUITION & LATE PAYMENTS ~ Payments can be made automatically using VISA, Mastercard, Discover, or American Express debit/credit cards (fee's applied for all digital transactions) or by a personal check (no fee applied) given to your child's Site Manager the THURSDAY prior to the week of attendance. Weekly tuition is processed each THURSDAY prior to week of attendance. If payment is returned for NSF, you will be charged a $35 processing fee. Payment in full will be expected no later than FRIDAY at 6 pm (including a $35 late fee) to avoid suspension of care until the balance is paid.
* LATE PICK-UP FEES ~ Any child clocked out of our system at 6:01pm or later WILL BE CHARGED A FEE, NO MATTER THE REASON FOR BEING LATE! (ie; vehicle breakdown, personal emergency, heavy traffic or car accidents, illness, working later than usual, etc.) Fees are as follows: $10 for the 1st 5 min's, and $1 a minute thereafter. Fees will be auto debited from your account.
Payment Frequency Options
Payments can be made automatically using VISA, Mastercard, Discover, or American Express debit/credit card (fee's applied for all digital transactions) or by a personal check (no fee applied) given to your child's Site Manager the THURSDAY prior to the week of attendance. Weekly tuition is processed each THURSDAY prior to week of attendance.
Payment Method Selection
Payment Agreement Confirmation
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