The Adventure Club
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  • DSS Families
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  • TO AVOID DELAY IN ENROLLMENT, PLEASE COMPLETE THIS FORM IN IT'S ENTIRETY!

  • If a currently enrolled family referred you to our program, and you have never been enrolled in our program before, please share with us the First & Last name of the parent referral. They will receive a $25 in-house credit as long as they're actively enrolled.

    (Please type "N/A" if this does not apply)
    If you are applying for both the CURRENT 2021-22 Fall School Term as well as the 2022-23 School Term, you will have to complete a separate enrollment form for each!

  • 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 & 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! Follow this link to complete needed forms if you have not done so already for the school: School Entrance Form -- BLANK MEDICAL CONSENT & HEALTH FORMS ARE LOCATED HERE-- THESE MUST BE COMPLETED BY YOUR CHILD'S PHYSICIAN: (copy and paste into a new browser tab) www.the-adventureclub.com/program-information-forms-rates/

    4. YOU MAY UPLOAD THEM BELOW OR FAX to 540-382-6529 or SCAN & EMAIL to: admin@the-adventureclub.com
    Drop files here or
    Max. file size: 100 MB.


    • MM slash DD slash YYYY

    • 1st Child:


    • Child Care on NON-SCHOOL DAYS:
      * If you only need care for your child K-12 yrs on NON-School days, you may enroll at Galaxy Play Only at a daily rate of $60 per child, each day.
      * If you child is enrolled for Before & After care at one of our school sites, they will attend Galaxy Play on all NON-School days at a rate of $30 per child, each day.
      * We provide breakfast, afternoon snack (parents need to pack a lunch), bouncy house fun, STEM activities, Lego's, board games, arts & crafts, arcade games, large indoor area for physical activity and team games, and outdoor rocket playground.

      Pre-Paid Flexible Care:
      For children who only need random drop-in care, you may purchase pre-paid Flex Hours in increments of: 20 hrs @ $160, 40 hrs @ $288, or 80 hrs @ $518.40.
      * Flex hrs are Non-Refundable. Unused hrs will carry over to next school year.
      * Once enrolled, there's no need to call ahead to drop your child off. Just bring them as needed during our regular before & after school hours.
      * You may also utilize our Galaxy Play location for non-school days using your available hours.

      Pre-Paid Flex AUTO:
      We now offer Flex Auto (Flex hours at 5% off regular rates)! If you select this option, we will automatically re-charge your hours for you when flex time gets down to 5 hours (in 20 hour increments at a time unless told to do more via e-mail to tac@the-adventureclub.com). At the 5 hour mark, a text message and email are sent to alert you that a charge is going to be processed within 24 hours.
      * Flex hrs are Non-Refundable. Unused hrs will carry over to next school year.
      * Once enrolled, there's no need to call ahead to drop your child off. Just bring them as needed during our regular before & after school hours.
      * You may also utilize our Galaxy Play location for non-school days using your available hours.

      Enrollment for the "BEFORE & AFTER" Program:
      * Available for children needing care before and/or after school care paying a flat weekly rate.

    • 1st new enrolled child = $50
      1st re-enrolled child = $35
      (Subsidy families pay enrollment fees if DSS does not)

    • 2nd Child:


    • Child Care on NON-SCHOOL DAYS:
      * If you only need care for your child K-12 yrs on NON-School days, you may enroll at Galaxy Play Only at a daily rate of $60 per child, each day.
      * If you child is enrolled for Before & After care at one of our school sites, they will attend Galaxy Play on all NON-School days at a rate of $30 per child, each day.
      * We provide breakfast, afternoon snack (parents need to pack a lunch), bouncy house fun, STEM activities, Lego's, board games, arts & crafts, arcade games, large indoor area for physical activity and team games, and outdoor rocket playground.

      Pre-Paid Flexible Care:
      For children who only need random drop-in care, you may purchase pre-paid Flex Hours in increments of: 20 hrs @ $160, 40 hrs @ $288, or 80 hrs @ $518.40.
      * Flex hrs are Non-Refundable. Unused hrs will carry over to next school year.
      * Once enrolled, there's no need to call ahead to drop your child off. Just bring them as needed during our regular before & after school hours.
      * You may also utilize our Galaxy Play location for non-school days using your available hours.

      Pre-Paid Flex AUTO:
      We now offer Flex Auto (Flex hours at 5% off regular rates)! If you select this option, we will automatically re-charge your hours for you when flex time gets down to 5 hours (in 20 hour increments at a time unless told to do more via e-mail to tac@the-adventureclub.com). At the 5 hour mark, a text message and email are sent to alert you that a charge is going to be processed within 24 hours.
      * Flex hrs are Non-Refundable. Unused hrs will carry over to next school year.
      * Once enrolled, there's no need to call ahead to drop your child off. Just bring them as needed during our regular before & after school hours.
      * You may also utilize our Galaxy Play location for non-school days using your available hours.

      Enrollment for the "BEFORE & AFTER" Program:
      * Available for children needing care before and/or after school care paying a flat weekly rate.

    • 2nd new enrolled child = $25
      2nd re-enrolled child = $30
      (Subsidy families pay enrollment fees if DSS does not)

    • 3rd Child:


    • Child Care on NON-SCHOOL DAYS:
      * If you only need care for your child K-12 yrs on NON-School days, you may enroll at Galaxy Play Only at a daily rate of $60 per child, each day.
      * If you child is enrolled for Before & After care at one of our school sites, they will attend Galaxy Play on all NON-School days at a rate of $30 per child, each day.
      * We provide breakfast, afternoon snack (parents need to pack a lunch), bouncy house fun, STEM activities, Lego's, board games, arts & crafts, arcade games, large indoor area for physical activity and team games, and outdoor rocket playground.

      Pre-Paid Flexible Care:
      For children who only need random drop-in care, you may purchase pre-paid Flex Hours in increments of: 20 hrs @ $160, 40 hrs @ $288, or 80 hrs @ $518.40.
      * Flex hrs are Non-Refundable. Unused hrs will carry over to next school year.
      * Once enrolled, there's no need to call ahead to drop your child off. Just bring them as needed during our regular before & after school hours.
      * You may also utilize our Galaxy Play location for non-school days using your available hours.

      Pre-Paid Flex AUTO:
      We now offer Flex Auto (Flex hours at 5% off regular rates)! If you select this option, we will automatically re-charge your hours for you when flex time gets down to 5 hours (in 20 hour increments at a time unless told to do more via e-mail to tac@the-adventureclub.com). At the 5 hour mark, a text message and email are sent to alert you that a charge is going to be processed within 24 hours.
      * Flex hrs are Non-Refundable. Unused hrs will carry over to next school year.
      * Once enrolled, there's no need to call ahead to drop your child off. Just bring them as needed during our regular before & after school hours.
      * You may also utilize our Galaxy Play location for non-school days using your available hours.

      Enrollment for the "BEFORE & AFTER" Program:
      * Available for children needing care before and/or after school care paying a flat weekly rate.

    • 3rd new enrolled child = $25
      3rd re-enrolled child = $25
      (Subsidy families pay enrollment fees if DSS does not)

    • 4th Child:


    • Child Care on NON-SCHOOL DAYS:
      * If you only need care for your child K-12 yrs on NON-School days, you may enroll at Galaxy Play Only at a daily rate of $60 per child, each day.
      * If you child is enrolled for Before & After care at one of our school sites, they will attend Galaxy Play on all NON-School days at a rate of $30 per child, each day.
      * We provide breakfast, afternoon snack (parents need to pack a lunch), bouncy house fun, STEM activities, Lego's, board games, arts & crafts, arcade games, large indoor area for physical activity and team games, and outdoor rocket playground.

      Pre-Paid Flexible Care:
      For children who only need random drop-in care, you may purchase pre-paid Flex Hours in increments of: 20 hrs @ $160, 40 hrs @ $288, or 80 hrs @ $518.40.
      * Flex hrs are Non-Refundable. Unused hrs will carry over to next school year.
      * Once enrolled, there's no need to call ahead to drop your child off. Just bring them as needed during our regular before & after school hours.
      * You may also utilize our Galaxy Play location for non-school days using your available hours.

      Pre-Paid Flex AUTO:
      We now offer Flex Auto (Flex hours at 5% off regular rates)! If you select this option, we will automatically re-charge your hours for you when flex time gets down to 5 hours (in 20 hour increments at a time unless told to do more via e-mail to tac@the-adventureclub.com). At the 5 hour mark, a text message and email are sent to alert you that a charge is going to be processed within 24 hours.
      * Flex hrs are Non-Refundable. Unused hrs will carry over to next school year.
      * Once enrolled, there's no need to call ahead to drop your child off. Just bring them as needed during our regular before & after school hours.
      * You may also utilize our Galaxy Play location for non-school days using your available hours.

      Enrollment for the "BEFORE & AFTER" Program:
      * Available for children needing care before and/or after school care paying a flat weekly rate.

    • 4th new enrolled child = $25
      4th re-enrolled child = $25
      (Subsidy families pay enrollment fees if DSS does not)






    • Medical Information & Consents:

    • Children’s Health and Safety Policies Expanded A. New Sick Child Procedure – if your child has a temp of over 99.1 degrees please keep them home and they can return 72 hrs. fever free without medication. B. Daily health checks will be conducted every morning at drop off. Morning and Afternoon Drop off Procedures Modified A. Each child will have their temperature checked prior to entering facility B. All parents are required to wear face masks before entering the building C. Parents who may not be feeling well – we will deliver your child to you in the parking lot. Please call ahead and we will have your child ready. D. Children are required to wash hands when arriving at the facility.


    • 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.

    • 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. Download Medication Consent Form

    • Parent/Guardian Information:


    • 1st Parent (Primary Payer):

    • Va state licensing requires that we obtain your current employers address and phone # if you are currently employed.

    • 2nd Parent:




    • Va state licensing requires that we obtain your current employers address and phone # if you are currently employed.

    • Authorized Emergency Contacts:

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

    • 1st Emergency Contact:

    • 2nd Emergency Contact:

    • Parental Agreements:

    • 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. Please refer to our Parent Handbook for further information.

    • WITHDRAWAL AGREEMENT: 1 week notice of withdrawal MUST be submitted to TAC's main office or additional fees will apply.

    • PARENT HANDBOOK: The Adventure Club reserves the right to make changes to any policy, procedure, tuition rates, fees, or other processes and information in this parent handbook, rate sheets, or our enrollment forms without prior notice. We reserve this right to maintain licensing compliance, stability, and integrity of the programs, and for the safety and security of the children & families enrolled in our programs, and for the staff that our company employs. A copy of our handbook can be found under "Program Information Forms" on our website.

    • MM slash DD slash YYYY

    • 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. ALL full days of care will be hosted at our Adventure Club at Galaxy Play.

      * FLEXIBLE CARE ONLY ~ All attendance will be deducted from your pre-paid hrs. Should your child attend more hrs than what you have available causing you to fall into a negative balance, you will be required to pay the balance due at a rate of $9 for each hour your negative. Balances are sent weekly via emailed statement. Purchased hrs are Non-Refundable. Unused hrs will carry over to the next year.

      * FLEX AUTO ~ All attendance will be deducted from your pre-paid hrs. Once your flex time hits the 5 hour mark, you will receive an alert via text and email letting you know a re-charge will occur within 24 hours. At that time we will use the payment you submitted during enrollment to process 20 hours at the Flex AUTO rate (unless asked to charge more hours). To request a higher increment of hours 40/80, email us at tac@the-adventureclub.com. Balances are sent weekly via emailed statement. Purchased hrs are Non-Refundable. Unused hrs will carry over to the next year.

      * UNPAID TUITION & LATE PAYMENTS ~ We require payment by auto debit ONLY. Weekly tuition is processed each Friday prior to week of attendance, or monthly according to our billing schedule on our rate sheet. 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, LGMRH, and NRVCS EMPLOYEES ~ Employment verification is required for all 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

      We accept Visa, MC, Check Card, or Checking Account Withdrawal (we do NOT accept Cash, Checks, AMEX or Discover).


    • Full Time AM or PM Care w/Alternate Flex Care:
      If you chose to enroll AM or PM but would also like to use flex hrs alternately, choose "Weekly w/Flex Hrs ", then choose how many hrs to purchase.

      Full Time AM and/or PM Care (NO flex hrs needed):
      If enrolled full time for AM, PM or both, choose "Weekly".

      Flex Care Only:
      If enrolled for drop-in care only at your child's school site, choose "Flex Care Only" then choose how many hours to purchase.

      Flex AUTO:
      If enrolled for drop-in care only at your child's school site and want to have your hours auto re-charged for 5% off regular flex rates, choose "Flex AUTO" then choose how many hours to purchase. Re-charges will occur in 20 hour increments unless told to do otherwise via email: tac@the-adventureclub.com.

      Full Days of Care Only at Galaxy Play
      If you only need care on NON-school days, choose "Full Days-Daily Rate Option.

    • * Payment WILL BE PROCESSED upon receipt of enrollment!

      * NEW families enrolling MUST choose an increment of hours to purchase to be actively enrolled.

      * Returning families who have a positive balance of hours left over from last school year may choose not to purchase hours at this time (Please check with the account management team (tac@the-adventureclub.com or chat live) to be sure you have enough hours banked on your account before your child starts).

    • Payment Method Selection

    • We accept: Visa, MC, Credit Card, or Checking Account Withdrawal (ACH). (we DO NOT accept Cash, Checks, AMEX or Discover)
    • 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 fees. (these fees are Non-Refundable)
      * Weekly and monthly tuition charges.
      * Late payment fee of $35.
      * Add-On day fees for full days of care $30.
      * Add-On day fees for early release & late opening $10.
      * Late pick-up fee per our policy (see parent handbook.
      * Non-Sufficient Funds or Declined Payment fee of $35.
      * Early Withdrawal Fee of $50 (min 1 wks written notice required).
      * Approval for charges submitted via phone or email authorization.
      * Negative balance of flex hrs owed at a rate of $9.00 hr.

    • Payment Agreement Confirmation

    • 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
    • DSS Families
    • Program Information, Rates, & Forms
    • Testimonials
    • Carroll County Adventure Club
    • Contact Us
    • News & Updates