Cardinal Kids Club Summer 2021 Application
Please fill out 1 summer application per child.
Cardinal Kids Club and Little Cards childcare provides childcare services for Annandale Public School District children ages 3 (completely potty trained) through 6th grade (children entering 2021-2022 school year). We are open Monday - Friday 6 AM - 5:30 PM. Starting Monday, June 14th - Friday, August 27th. We are closed Friday, July 2nd, Monday, July 5th and August 30th-September 3rd. A $30 per child registration fee ($40 after May 14th early registration discount) will be charged once summer programming begins. Rates for our summer program are $35 per day,  $140 per week (Full time), and $40 per day for Drop In Care. Please be sure your SACC Account is current. If you don't have one set up please click here to do so: https://annandalece.sacc.rschooltoday.com/public/home/
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Child's name (Last, First) - DOB(Ex. Dougherty, Christy - 9/13/2007) *
Child's Grade for the 2021-2022 School Year *
My child will attend *
Required
Parent/Guardian Name
Parent/Guardian Email
Parent/ Guardian Address
Primary and Alternative Phone Number
Emergency Contacts please list 2 people and phone numbers other than parents/ guardians who we can contact in case of an emergency. These people must be able to pick up your child if we can not reach you.
Does your child have any allergies
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Allergy to what? Medications? Cardinal Kids Club will arrange meeting and discuss Anaphylactic Action plan.
Is your child on any medication that they need to be taking while in our care?
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If medication is required while in care, what medication? Cardinal Kids Club will be in contact with you about further actions.
Can Cardinal Kids Club apply sunblock to your child?
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Is your child on an IEP or do they receive Special Ed services from Annandale Public Schools? Each  case will be reviewed by the Director of Community Ed and the Cardinal Kids Club Coordinator before enrollment is granted to determine if we can provide care safely for the child and the rest of the children that attend.
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Photo Release: I give Cardinal Kids Club permission to take my child(ren) picture for use on our school web page, community ed catalog, and the community ed Facebook page,
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By signing this agreement I agree to the following:  I release Cardinal Kids Club, District 876 and all it's employees of any  liability for accidents or injuries. I understand that I am responsible for all medical expenses. I give Cardinal Kids Club staff permission to take my child(ren) on field trips off Annandale School grounds. I give Cardinal Kids Club staff permission to apply sunscreen to my child.
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