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.
4. 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)
UPLOAD MEDICAL DOCUMENTS HERE:
1st new enrolled child = $50
1st re-enrolled child = $35
(Subsidy families pay enrollment fees if DSS does not)
UPLOAD MEDICAL DOCUMENTS HERE:
2nd new enrolled child = $25
2nd re-enrolled child = $30
(Subsidy families pay enrollment fees if DSS does not)
UPLOAD MEDICAL DOCUMENTS HERE:
3rd new enrolled child = $25
3rd re-enrolled child = $25
(Subsidy families pay enrollment fees if DSS does not)
UPLOAD MEDICAL DOCUMENTS HERE:
4th new enrolled child = $25
4th re-enrolled child = $25
(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 (Primary Payer):
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 on school sites are retained per contractual agreements with MCPS, therefore tuition fees are charged continuously during regular and non-school days from the 1st day of school to the last day of school.
* ADD-ON DAY FEES ~ Attendance on NON-SCHOOL DAYS of care as well as early release and late openings requires an add-on day fee and will be auto debited within 1 business day. ALL full days of care will be hosted at 77 Scattergood Drive in Christiansburg.
* RESERVED HOURLY CARE ~ All attendance must be RESERVED and will be deducted from your payment type of choice as your child's hours are RESERVED per day. If you decide to pay by check you must pay in advance of attendance reserved. (Link to APP provided upon enrollment). Hours may be scheduled and or cancelled with your Parent APP.
* 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 Friday prior to the week of attendance. Weekly tuition is processed each Sunday 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 Wednesday to avoid suspension of care until the balance is paid.
* VENDOR DISCOUNT QUALIFICATIONS: MCPS EMPLOYEES ~ Employment verification is required for vendor employees before discounts are applied.
* 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.
Vendor Discounts
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 Friday prior to the week of attendance. Weekly tuition is processed each Sunday prior to week of attendance.
Payment Method Selection
Payment Agreement Confirmation
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