Print and sign enrollment form for
Little Tiger’s Enrichment Club

Parents,

Here is the opportunity to enroll your child in a daily school enrichment club. We will be available 6:00-8:00 a.m. every morning and every day after school until 6:00 p.m. You must let your child’s teacher, the office, and Little Tiger’s staff know each week what days and hours you need them to be there. If not, needed staff may not be on site! You must pay by Friday of each week, unless otherwise arranged. If school closes early for weather or other events, we will be closed. All paperwork must be completed before enrollment. A light snack will be served each afternoon. We will facilitate homework, play in the gym, go out on the playground, and have library and computer time. Contact Little Tiger’s by calling Janet Zganjar, 218-780-7675, or Carol Andrews, 218-744-5392. Or e-mailing Janet at …………….@ISD2142.K12.mn.us

 

Child’s Name________________________Age____Grade_____Birthday_________Teacher_________

Child lives with: Mother____________Father_____________Other (Specify)_______________

Hours Care is Needed:

Mornings: Monday________Tuesday_______Wednesday_______Thursday_______Friday_________;

Afternoons:

Monday_______Tuesday_______Wednesday_______Thursday_______Friday________

 

Fees (due each Friday to avoid the late fee of $5):

$2 per child for morning session

$5 for first child for afternoon session; each additional child is $4 for afternoon session

If you pick up your child past the closing hour of 6:00 p.m., a $5 late fee will be added. You must come into the school to pick up your children.

If you do not pay all Little Tiger’s fees by Friday of the week your child attends, unless staff have been notified that another payment arrangement is needed, you will be charged a $5 late fee.

 

 

 

Mother or Guardian’s Name

Home Phone

Address

Work Phone

City

Mobile Phone

Employed by

Work Hours

E-mail address

 

Father or Guardian’s Name

Home Phone

Address

Work Phone

City

Mobile Phone

Employed by

Work Hours

E-mail  adddress

 

 

 

Current Health Problems: Child’s Name

Allergies

 

Medical Conditions
















Emergency contacts and Persons authorized to take child from Little Tiger’s (other than
the parent): They will need to show valid proof of who they are.

Name/ Relationship to Child /Phone Number

1.

2.

3.

Persons who are NOT authorized to take child from Little Tiger’s:

Name/ Relationship to Child /Phone Number

1.

2.

3.

Community Education Release made by the undersigned members or participants of class: Cherry School Little Tiger’s Enrichment Club

To St. Louis County Schools, Independent School District No. 2142, a Minnesota municipal corporation, for class held at Cherry School on or during the period of the 2017-2018 school year. I hereby and forever discharge and release St Louis County Schools, its successors and assigns from all debts, claims, demands, damages, actions and causes of actions whatsoever which I may have or may hereafter have as a result of the above mentioned facility by myself or my child. I acknowledge that I am aware of the risks and hazards involved in the aforesaid activity. In witness whereof, I, the undersigned, have executed this release on the day and year appearing after my signature.

Parent/Legal Guardian Signature_________________________________Date____________

 


Contact: Carol Andrews