Tiger Club Enrollment Form
Tiger Club (after school care) will be available until 5:45 Monday- Friday (with the exception of early dismissal dates on 12/20 and 5/18.  If you have direct questions about the after school care program, please contact Lindsay Leonard at lleonard@pilotgrove.k12.mo.us or at 660-834-4115.
Sign in to Google to save your progress. Learn more
Student Name(s) -Please list all students in your family who will be attending *
Parent Name: *
Parent Phone Number: *
Parent Email Address: *
Student(s) Grade Level(s) *
Required
After school care will take place Monday- Friday from dismissal to 5:45pm.  Please indicate your typical pickup time for your familiy. *
My child(ren) will attend the following days: *
Required
Please list an allergies or medical information we need to be aware of.  If there are no known allergies please indicate. *
The following individuls will be picking up my child from after school care: *
Emergency Contact *
Emergency Contact Phone Number *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pilot Grove C-4. Report Abuse
Google Forms