Monday Care

MONDAY CARE & HOLIDAY BREAKS

Full-day care is open to all students of any district and is available from 6:45 am to 6:00 pm each day. Full Day rate of $25/day.

NOW ACCEPTING: State Pay & Government Subsidy!

UPCOMING DATES

MONDAY CARE

August 18th

August 25th

September 8th

September 15th

September 22nd

September 29th

October 6th

October 13th

October 20th
October 27th
November 3rd

November 10th

November 17th
November 24th
December 1st
December 8th

HOLIDAY BREAKS

August 19th

August 24th

November 7th

November 26th

December 22nd

December 23rd

December 29th

December 30th

January 2nd
March 6th
March 13th

March 27th

April 3rd
April 17th

REGISTER TODAY!

Student's Name(Required)
MM slash DD slash YYYY
Address(Required)

Parent/Guardian Information

Parent/Guardian Name(Required)
Address
If different than child above

Parent/ Guardian #2

Parent/Guardian Name
Address
If different than child above

Emergency Contact Information

Emergency Contact #1(Required)
Emergency Contact #2(Required)

Enrollment Information

Childcare is Needed for:(Required)

Pick Up Authorization

Note: Please include emergency contacts if applicable. Students will not be released to anyone other than those on this list. Photo identification may be required from anyone other than a parent guardian

Health Record

Does your child have any food allergies(Required)
Please write N/A if there are none.
Please write N/A if there are none.
Health Statement(Required)
Every camper is required to have an updated immunization record on file in order to receive care. You may provide this later if you do not currently have it available.
Max. file size: 50 MB.
Authorization for Emergency Care(Required)
Quantum Athletics policy requires that all clients have a credit or debit card on file for payment purposes. Your Credit/Debit Card information will be secure and can only be charged under the terms you specify below. By providing us with your Credit/Debit Card Information, you authorize Quantum to automatically charge your card on a weekly basis if another payment is not secured unless full payment is provided. Cards will be run each Friday morning for the following week. Parents will be immediately notified if the card on file cannot adequately charge fees. Payment must be completed by 5 p.m. on Friday to secure the child's spot for the following week. If the Credit/Debit Card information on file changes for any reason, you must notify Quantum as soon as possible. We will maintain a clear record of all payments and charges. An email receipt will be sent to you as soon as the payment goes through.
Clear Signature
1. I give permission for my child to participate in Kids Camp activities such as group led enrichment, movies, outdoor play, etc. at Quantum Athletics. 2. I give permission for my child to be included in pictures or other publicity connected with the camp, including Instagram, Facebook and other social media platforms. 3. I understand that full payment must be made by 5 p.m. the Friday prior to the start of the week for my child to participate. 4. If my child is not picked up by the designated time, a $35 fee will apply for each occurrance. A parent may upgrade from half-day to full-day if space is available. 5. I understands field trips will be offered throughout Kids Camp. 6. I am aware of the nature of this activity and I hereby assume responsibility for the participant listed above to participate. I acknowledge that, while not common, any activity that involves height and motion (such as bounce houses, tumbling and stunting) involves risk of injury ranging from minor (bruises and sprains) to more serious and catastrophic injuries. I will not hold Quantum Athletics LLC or its employees responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of Quantum Athletics prior to participation in any program. If, at any point, I have a question or a concern regarding the safety of my child or the intent of the program, I will contact the owner, manager or instructor immediately. I also allow the participants listed to be photographed and videotaped for publicity and advertising purposes only.
Clear Signature
Students will be transported on the Quantum Bus to and from field trips, Immanuel Lutheran, Round Grove Pick Up, & Greenfield Schools. Students are required to wear seatbelts and follow bus rules at all times. Parents will be notified and have the option to decline field trips and transportation for field trips at any time. Students who do not follow the bus rules will receive a warning followed by a parent notification. Those who continue to have problems will be removed from the bus and will need to provide their own transportation. For a full list of bus procedures and rules, please contact the Kids Camp director. I grant permission for my child to attend Field Trips at Quantum Athletics LLC anytime during the 24-25 school year.
Clear Signature

Card Information

Name on Card(Required)