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Welcome to The Adventure Club Before & After School Program!

Please complete this form to its entirety. All registrations are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.

In order to attend children must be 5-10 years old.



Please review our 2024-25 Rates below:

Registration:

$50 per child

(FREE before August 15th, 2024)

Registration fees are non-refundable

Falling Branch Elementary is transported by Adventure Club Vans -- Christiansburg Primary & Christiansburg Elementary are transported by MCPS bus.

Weekly Before OR After School Tuition:

$85 per child (+51 each addt'l children)

Weekly Before & After School Tuition:

$136 per child (+81 each addt'l children)


(Full Non-School Day Care) $30.00 per child per occurrence

(Winter & Spring Break) $195/Week per child with reservation - (Winter Break Dec 23rd - Jan 3rd) & (Spring Break March 10th - 14th)

Flex Care:

$8 per hour

Can be used for Before & After Care, Non School Day's, and Winter/Spring Break (with reservation).

(processed with card/debit auto pay ONLY) - All hourly care is based off of attendance and billed per day by the minute.

All payments will be taken out once your pre-registration has been confirmed. You will receive a welcome email as confirmation once enrollment has been processed.

Childcare Assistance Information:

Childcare Payment Assistance ~ Please chooce one of the following:*
Parents are responsilble for any monthly co pay outlined by the Department of Social Services as well as any weekly difference there may be in tuition and what DSS pays.
Which county are you receiving assistance from?*
DSS Subsidy Policy*
Child care subsidy that is paid through the Department of Social Services must meet the following requirements to be actively enrolled at The Adventure Club:

1. Parents/Legal Guardian must swipe their card each morning and afternoon.

2. A Child will not be able to attend the program unless the DSS card is swiped.

3. Parents must swipe BEFORE checking into Procare (our accounting/attendance system) or signing in children.

4. If a parent forgets the DSS card, a child will not be allowed to attend until the card is swiped. (Taking a photo of your card for manual entry is a good way to have back up if your card is lost)

5. If a parent has a co-fee, those fees are collected in advance before services are rendered. A credit card or checking account is required for automatic debit.

6. If a child is absent, the back swipe must be done the following day the child returns. Any unapproved absences will be the responsibility of the parent to pay.

Child Information:

If your child is currently enrolled at The Adventure Club and none of your information has changed, we can use what we have on file for your medical information, medical consents, and emergency contact information.

Please select one of the options below:
Drop files here or
Max. file size: 100 MB.
    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)

    Weekly families have priority for reservation. Limited spaces! Winter & Spring Break Rate: $195 per week (5% sibling discount).
    During this time regular tuition is not active. In order to attend during the break you must reserve. Winter Break ( Dec. 23rd - Jan 3rd)
    Spring Break (March 10th - 14th)

    Please select one of the options below:

    1st Child Information:

    1st Child:*

    1st Child:

    Date of Birth:*
    1st Child's School Attending:*
    MM slash DD slash YYYY

    1st Child's Program:*
    Weekly tuition does not pause during the school semester and is not based on your child's attendance.

    2nd Child Information:

    2nd Child:*

    2nd Child:

    Date of Birth:*
    2nd Child School Attending:*
    MM slash DD slash YYYY

    2nd Child's Program:*
    Weekly tuition does not pause during the school semester and is not based on your child's attendance.

    3rd Child Information:

    3rd Child:*

    3rd Child:

    Date of Birth:*
    3rd Child School Attending:*
    MM slash DD slash YYYY

    3rd Child's Program:*
    Weekly tuition does not pause during the school semester and is not based on your child's attendance.

    4th Child Information:

    4th Child:*

    4th Child:

    Date of Birth:*
    4th Child School Attending:*
    MM slash DD slash YYYY

    4th Child's Program:*
    Weekly tuition does not pause during the school semester and is not based on your child's attendance.

    Medical Information & Consents:

    *I have chosen to use my current Medical Information & Consents listed in my file at The Adventure Club*
    Photo Consent*

    Photo's:

    Photos are reviewed prior to posting on Facebook to ensure proper exposure. TAC WILL NEVER publicly post children's names without parental consent!
    CHILD ILLNESS & COMMUNICABLE DISEASE - If you're notified that your child is ill, you agree to pick your child up within 30 min's or no later than 1 hr. If your child or a member of your immediate household become ill or exposed to a Communicable Disease, you agree to notify TAC within 24 hrs.*


    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.

    If medication needs to be administered, please click the link below to the Medicine Consent Form and have the pediatrician complete it. With the completed form, provide your child’s medicine in its original box to the director of the center. Describe any specific details in the box below. ***IF FILLING OUT A FORM, YOU WILL NEED TO EITHER UPLOAD IT BELOW, SCAN & EMAIL IT TO [email protected] OR Fax it to us at 540-382-6529***

    Medication Consent (PDF)
    VA Athsma Action Plan (PDF)
    General Healthcare Plan (PDF)
    Food Allergy & Anaphylaxis Emergency Care Plan (PDF)

    UPLOAD MEDICAL DOCUMENTS HERE:

    Drop files here or
    Max. file size: 100 MB.


      Parent/Guardian Information:


      1st Parent (Primary Payer):

      Name*
      Address*
      Employment Status*
      Address*

      2nd Parent

      Name*
      Is the 2nd parent's physical address the same as the 1st parent?*
      Address*
      Employment Status*
      Address*

      Authorized Emergency Contacts:

      MUST Provide 2 Emergency Contacts that live within 1 hr of child's location. CANNOT BE PARENT/GUARDIANS!

      Authorized Emergency Contacts:


      * I have chosen to use my current Emergency Contacts listed in my file at The Adventure Club*
      1st Emergency Contact:*

      1st Emergency Contact:

      Address*

      2nd Emergency Contact:*

      2nd Emergency Contact:

      Address*

      Parental Agreements:

      Behavioral disclosure*

      BEHAVIORAL DISCLOSURE:

       The Adventure Club Team takes pride in providing a fun and safe environment for all of the children in our program. When parents, children, and The Adventure Club Team are all "on the same page" the children benefit immensely.
      What happens when a child is misbehaving? What happens when a child exhibits unwanted behavior? The following are a list of steps that our staff takes:
      Step #1: Inform another staff member of what has happened so you may devote more time to problem solving with the child.
      Step #2: Have the child “cool off” in an area away from the other children. Inform the child that after a few cool down minutes they should raise their hand when they are ready to talk about what happened.
      Step #3: Listen to the child and problem solve.

      If the child WILL NOT comply with a physical task:
      Step #4: If the child continues defiance and the Adventure Club Team have exhausted all options, the staff will call the parent.
      COMMUNITY PLAY RELEASE & HOLD HARMLESS AGREEMENT:*

      COMMUNITY PLAY RELEASE & HOLD HARMLESS AGREEMENT:

      I understand that my child will not be allowed to play on any equipment unless my child meets the height and weight requirements. I acknowledge, release, and hold harmless the facilities, personnel, and property of Adventure Club from a possible injury that could occur while my child is playing on the play equipment. I release and hold harmless The Adventure Club, and employees from liabilities and claims arising from my child's participation on play equipment. I give my permission to allow my child(ren) to play on the equipment and acknowledge the risk associated with play.

      Parental Agreements:


      * I have chosen to continue to use my current answers for Parental Agreements listed in my file at The Adventure Club*

      Payment Method Selection

      Which Tuition Type?*
      NOTE: Flex Care Requirement: Must have credit/debit card for autopay on file for daily auto deduction. No Checks or cash accepted for this tuition type.
      How would you like to pay?*
      We accept: ALL major credit cards. Credit card processing fees will be added on to tuition - Our software does this automatically (processing fee of 3.4% + $0.50 cents per transaction), or Checking Account Withdrawal (ACH BANK DRAFT - MUST BE DONE BY PARENT WITHIN PARENT PORTAL) (processing fee of 0.95 % + $0.25 cents per transaction.) -- (Personal Checks are accepted with no additional fee -- checks may be give to your child's Site Manager each Thursday PRIOR to your child's attendance the following week).

      Flex Care must pay by Credit/Debit Card or Checking Withdrawal.
      Name:*
      Name as it appears on the card or checking account:
      Address:*
      Please list the address associated with your listed payment information.
      Please enter the month & year in the following format: mm/yyyy

      Debit Authorization Agreement

      Charges that may be automatically debited from your credit card or checking account will include the following as applicable:

      * Registration Fee's. (these fees are Non-Refundable)
      * Weekly Tuition
      * Flex Care Hourly - processed daily following attendance by the minute.
      * Winter & Spring Break Tuition (if reserved)
      * Non School Day's
      * Non-Sufficient Funds or Declined Payment fee of $35.
      * Late Payment fee of $35.
      * Late pick-up fees. ($5.00 flat fee after 5 minutes and $1.00 per minute after that)
      * Approval for charges submitted via phone or email authorization.

      Payment Agreement Confirmation

      Fee Acknowledgement*
      Electronic Signature:*
      MM slash DD slash YYYY

      If after clicking submit you remain on the same screen, please scroll back through the form to complete highlighted areas and resubmit.


      • Before & After School Enrollment
      • Testimonials
      • NOW HIRING – Apply Here!
      • On-Site Locations
      • Dept. of Social Services Assisted Families
      • Contact Us
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