2023-2024 School Year - Rebel Kids Care Request Form
School Age Childcare for district enrolled students K-5th grade only.  Registration is NOT confirmed until you receive confirmation from the Community Education Office.  Once you receive confirmation that we have room for your student/s, we will send you the enrollment forms and then you can submit your registration fee. 

RKC is based out of the DGF Elementary site. Parents can begin filling out the 2023-2024 school year request form starting 3/1/23. All families will need to complete the RKC Request Form and RKC staff will review requests and let families know if we have space for your child/ren or if they are added to the waitlist.  Please complete one Request Form per child.  Registration is NOT confirmed until you receive confirmation from the Community Education Office.

Priority is given to full-time enrollment of 5 days per week.  Full time enrollment is considered 5 days per week of before school AND after school during the school year. Children may attend less but you will be billed for five mornings/afternoons when enrolled fulltime.

If you have any questions, please contact Tracy Tollefson at 218-477-6805.

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Email *
Student First and Last Name *
Student Grade (Grade they will be in for the 2023-2024 school year) *
Student Birthdate *
MM
/
DD
/
YYYY
Classroom Teacher - Students will not know their teacher for next year yet so leave this field blank if you are unsure.
Allergies (If no allergies, please write "None") *
Each child brings their own uniqueness to the program.  If your child receives services through Special Education, or has a behavior plan developed, please contact Tracy Tollefson at 218-477-6805 or rebelkidscare@dgf.k12.mn.us.  A meeting will need to be set up with you to do an individualized assessment regarding your request to have your child participate in Rebel Kids Care.  This meeting will determine if Rebel Kids Care is an appropriate and safe setting for your child to succeed independently.  The child’s start date may be delayed depending on the number or staff available with the skill-set necessary to meet your child’s needs. *
Required
Address *
City *
State *
Parent First and Last Name (1) *
Parent Email (1) *
Parent Cell Phone (1) *
Parent First and Last Name (2)
Parent Email (2)
Parent Cell Phone (2)
Requested Enrollment Information:  Please note what care you are requesting.  Priority is given to full time enrollment.  Parents who choose full time can attend less days but must pay for the full-time spot to prioritize their child's enrollment. Once we review your request form, we will notify you if we have room or if your child needs to be added to the waitlist. *
If your child is requesting to enroll part time (less than five days per week), are there specific days of the week that you know they are attending or will it change weekly?
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If requesting part-time enrollment, what days would work best for your child to attend?
Morning
Afternoon
Both
Monday
Tuesday
Wednesday
Thursday
Friday
A copy of your responses will be emailed to the address you provided.
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