Thank you for taking the time to complete this application and carefully read the updates within it. 

This spring, Kinder-5th grade clubs will be offered two days per week at each site (CES, JES and MMES). With the exception of students from outlying schoos, we will not mix students from different schools at any site. Therefore, students will remain at their school for all TLC afterschool clubs. Students from outlying schools are welcome to apply and we will consider them for CES, JES and MMES sites. 

TLC and TCSD will continue to provide an evening activity bus to bring students from MMES to CES after club. MMES families can apply for the evening MMES activity bus through this application. Please be sure to read the protocols around the MMES bus very carefully. TLC is working to ensure our highest need families are served on the bus first.  

Important Updates for the Spring 2023 Club Season:

1. The applicatiion will close on February 26th. Any families who apply after February 26th will be automatically waitlisted. 

2. We will notify families of enrollment or waitlist status on March 9th. All notifications will be sent via email. Families are required to respond to the email to accept their club space(s).

3. Club will run from Monday, April 10th until Thursday, June 1st. If your student is likely to miss two or more clubs due to scheduling conflicts, for example, other clubs, sports, etc., we ask that you do not apply for the spring session. This is in an effort to prioritize students who can attend the full duration of club. 

4. TLC, TCSD and JHCM are working hard to increase capacity and ensure highest need families are served first. Completing this application does not guarantee a space in our clubs on one or both days. 

This authorizes Teton Literacy Center and Teton County School District #1 to share written or verbal information regarding my child’s academic performance, diagnosis, history, including medication, progress, psychological and educational testing, medical and legal information, social welfare and rehabilitation, reports and other materials that are relevant to my child's care. I give my permission for the staff of Teton Literacy Center, this 21st CCLC program with services located at Teton Literacy Center, Munger Elementary School, and Jackson Hole Middle School to review my child’s academic and behavior progress reports or their report card in order to document growth and progress in my child during his/her time in this before/after school or summer program. This includes attendance, academic performance, teacher surveys and information about whether my child has an identified exceptionality, an Individual Education Plan or Academic Improvement Plan, and suggestions from my child’s teacher(s) on how my child can best be helped in the program. TLC will send Wyoming Department of Education grade reports from your child’s teacher using WISERID numbers where data will be aggregated at the state level to protect your child’s identification. This data is collected to evaluate the effectiveness of TLC programs.

I understand that my records are protected under the laws regarding confidentiality, and cannot be disclosed without written consent, except in specific situations.  This consent is valid throughout my child receiving services at Teton Literacy Center.

Students must be respectful to the staff, volunteers and other students, respecting other's physical space, safety and feelings. Staff must also be respectful of students. 

Students and families understand that in TLC programs, there can be students of different schools, diversities, cultures and ages. Students will be kind to all and accepting of each other. 

The use of culturally, racially or religiously insensitive remarks/mimics, foul language and/or profanity is not acceptable at any time. 

All students and families are expected to know and follow the rules of both Teton Literacy Center and Teton County School District. All Teton County School District rules apply when students and families are in Teton Literacy Center programs. These policies include playground protocol, wearing shoes at all times, sitting while eating snack, using inside voices, walking in the hallways and more. These policies are put in place to keep all students safe. 

Children must remain at their assigned locations for program activities until a parent signs them out, or written permission by their guardian(s) has been given. If there is a change in pick-up (examples: student needs to leave early, will be picked up by someone else, walks home, etc) then families must notify instructors prior to 2:00 pm. If unable to do so, families can contact the TLC office and must complete the sign-out procedures. 

Students and families understand that consequences will be applied to disruptive or dangerous behaviors. These will vary depending on the severity of the behavior.

If there is a discipline problem, the TLC teacher will fill out a refocus form or incident report, depending on the severity of the problem. Parents will be notified via written communication. A family meeting may be scheduled. If behaviors continue after the family meeting, TLC may request a break in services. The student and family will work to build more appropriate behaviors. 

This authorizes Teton Literacy Center and Teton County School District #1 to share written or verbal information regarding my child’s academic performance, diagnosis, history, including medication, progress, psychological and educational testing, medical and legal information, social welfare and rehabilitation, reports and other materials that are relevant to my child's care. I give my permission for the staff of Teton Literacy Center, this 21st CCLC program with services located at Teton Literacy Center, Munger Elementary School, and Jackson Hole Middle School to review my child’s academic and behavior progress reports or their report card in order to document growth and progress in my child during his/her time in this before/after school or summer program. This includes attendance, academic performance, teacher surveys and information about whether my child has an identified exceptionality, an Individual Education Plan or Academic Improvement Plan, and suggestions from my child’s teacher(s) on how my child can best be helped in the program. TLC will send Wyoming Department of Education grade reports from your child’s teacher using WISERID numbers where data will be aggregated at the state level to protect your child’s identification. This data is collected to evaluate the effectiveness of TLC programs.

I understand that my records are protected under the laws regarding confidentiality, and cannot be disclosed without written consent, except in specific situations.  This consent is valid throughout my child receiving services at Teton Literacy Center.

I/we understand that my child’s participation in Teton Literacy Center and Jackson Hole Children’s Museum out of school programs is voluntary and that my child and I/we are free to choose not to participate. I understand that participation in voluntary out of school activities includes risk of injury that may range in severity from minor to disabling to even death. Although serious injuries are not common in supervised school programs, it is impossible to eliminate the risk. 

I understand that Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers will not be liable for personal injuries and/or property damage as a result of my child’s participation in such programs or activities.

I/We, on behalf of myself and my minor child, agree to release, hold harmless and indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any loss, cost, damage and/or expense of any nature, including all attorneys’ fees and costs which I or my child may have resulting, either directly or indirectly, from my child’s participation in afterschool programs or activities. 

I/We give permission for our son/daughter to participate in all Teton Literacy Center and Jackson Hole Children’s Museum afterschool activities and do forever indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any and all actions, all known and unknown personal injuries or property damage of said minor arising out of said activities, and also all claims or right of action for damages which said minor has or hereafter may acquire. 

I also have made arrangements to secure timely pick up of my child at the conclusion of each scheduled program. I understand that Parents/guardians are responsible for providing student transportation to and from activities.

I have read, understand and agree to comply with the requirements of the policies and procedures listed above. I realize that failure to comply with these requirements may result in loss of my funded space within this program. I/we accept the risk and responsibility of participation in Teton Literacy Center and Jackson Hole Children’s Museum afterschool programs and we Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers from any liability.

I/we understand that my child’s participation in Teton Literacy Center and Jackson Hole Children’s Museum out of school programs is voluntary and that my child and I/we are free to choose not to participate. I understand that participation in voluntary out of school activities includes risk of injury that may range in severity from minor to disabling to even death. Although serious injuries are not common in supervised school programs, it is impossible to eliminate the risk. 

I understand that Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers will not be liable for personal injuries and/or property damage as a result of my child’s participation in such programs or activities.

I/We, on behalf of myself and my minor child, agree to release, hold harmless and indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any loss, cost, damage and/or expense of any nature, including all attorneys’ fees and costs which I or my child may have resulting, either directly or indirectly, from my child’s participation in afterschool programs or activities. 

I/We give permission for our son/daughter to participate in all Teton Literacy Center and Jackson Hole Children’s Museum afterschool activities and do forever indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any and all actions, all known and unknown personal injuries or property damage of said minor arising out of said activities, and also all claims or right of action for damages which said minor has or hereafter may acquire. 

I understand that if my student, during the day, has any COVID-19 symptoms, my student cannot attend programs that day unless they have a negative COVID-19 test or written permission from a doctor. Students and families exposed to, or sick with COVID-19, will comply with the current state, county or local orders to quarantine, social distance or wear a mask to limit the risk of exposure to others.

I also have made arrangements to secure timely pick up of my child at the conclusion of each scheduled program. I understand that Parents/guardians are responsible for providing student transportation to and from activities.

I have read, understand and agree to comply with the requirements of the policies and procedures listed above. I realize that failure to comply with these requirements may result in loss of my funded space within this program. I/we accept the risk and responsibility of participation in Teton Literacy Center and Jackson Hole Children’s Museum afterschool programs and we Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers from any liability.

The Teton Literacy Center may photograph, interview or videotape my children to use for volunteer instruction, marketing purposes and/or program fundraising. Please indicate below whether your child’s writings or photograph may be used for these purposes:

Photographic Release. Participant does hereby grant and convey unto Teton Literacy Center all right, title, and interest in any and all photographic images, video and/or audio recordings made by TLC during the Participant's activities with TLC, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. I further grant to the Teton Literacy Center and its representatives the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of these images and recordings in any media now known or later developed as well as my/their name for promoting, publicizing or explaining the Teton Literacy Center and its activities and for administrative or educational purposes.

Emergency Medical Care

In the case of an emergency, JHCM will not transport your child. They will call the parents or dial 911 for emergency transportation. JHCM staff will not administer medication during programs other than Benadryl and Epi-Pen in the case of an emergency. If your child requires medication during the program, the medication must be in the original container with doctor's orders for the medications. This includes Epi-Pens. If anything is administered, parents will be notified.

JHCM cannot guarantee a food allergen-free environment. Please provide sunscreen for your child(ren). If not provided, JHCM staff will apply program sunscreen if necessary for outdoor activity. 

Important to know:

• All families interested in the MMES activity bus will answer the questions below to apply.
• Families will be notified of their bus invitation/waitlist status on Thursday, March 9th. All invited families will be required to complete a form in order to accept their space on the bus.
• These students will be automatically placed on the bus at the end of club every single week. If you need to pick up at MMES, you must contact the club teacher prior to 1pm.
• If your student has received a space on the bus and is picked up from MMES more than three times, your space on the bus is subject to be removed. Thank you for understanding we have a lengthy waitlist for the bus! 

SOAR is a free eight-week intensive summer program for students exiting Kindergarten through 7th grade this school year. SOAR consists of four weeks of full-day programming and four weeks of half-day programming, designed to coincide with TCSD's summer program.

Each student enrolled must commit to attending all eight weeks of SOAR.

Dates:

Full Day: June 19th - July 13th

Elementary & Middle School Students: 9am - 4:30pm

Half Day: July 17th - August 10th

Elementary Students: 3pm - 5pm

Middle School Students: 1pm - 3pm 

Please only apply for TLC's SOAR if you can commit to all 8 weeks of programs!

This authorizes Teton Literacy Center and Teton County School District #1 to share written or verbal information regarding my child’s academic performance, diagnosis, history, including medication, progress, psychological and educational testing, medical and legal information, social welfare and rehabilitation, reports and other materials that are relevant to my child's care. I give my permission for the staff of Teton Literacy Center, this 21st CCLC program with services located at Teton Literacy Center, Munger Elementary School, and Jackson Hole Middle School to review my child’s academic and behavior progress reports or their report card in order to document growth and progress in my child during his/her time in this before/after school or summer program. This includes attendance, academic performance, teacher surveys and information about whether my child has an identified exceptionality, an Individual Education Plan or Academic Improvement Plan, and suggestions from my child’s teacher(s) on how my child can best be helped in the program. TLC will send Wyoming Department of Education grade reports from your child’s teacher using WISERID numbers where data will be aggregated at the state level to protect your child’s identification. This data is collected to evaluate the effectiveness of TLC programs.

I understand that my records are protected under the laws regarding confidentiality, and cannot be disclosed without written consent, except in specific situations.  This consent is valid throughout my child receiving services at Teton Literacy Center.

I/we understand that my child’s participation in Teton Literacy Center and Jackson Hole Children’s Museum out of school programs is voluntary and that my child and I/we are free to choose not to participate. I understand that participation in voluntary out of school activities includes risk of injury that may range in severity from minor to disabling to even death. Although serious injuries are not common in supervised school programs, it is impossible to eliminate the risk. 

I understand that Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers will not be liable for personal injuries and/or property damage as a result of my child’s participation in such programs or activities.

I/We, on behalf of myself and my minor child, agree to release, hold harmless and indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any loss, cost, damage and/or expense of any nature, including all attorneys’ fees and costs which I or my child may have resulting, either directly or indirectly, from my child’s participation in afterschool programs or activities. 

I/We give permission for our son/daughter to participate in all Teton Literacy Center and Jackson Hole Children’s Museum afterschool activities and do forever indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any and all actions, all known and unknown personal injuries or property damage of said minor arising out of said activities, and also all claims or right of action for damages which said minor has or hereafter may acquire. 

I also have made arrangements to secure timely pick up of my child at the conclusion of each scheduled program. I understand that Parents/guardians are responsible for providing student transportation to and from activities.

I have read, understand and agree to comply with the requirements of the policies and procedures listed above. I realize that failure to comply with these requirements may result in loss of my funded space within this program. I/we accept the risk and responsibility of participation in Teton Literacy Center and Jackson Hole Children’s Museum afterschool programs and we Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers from any liability.

I/we understand that my child’s participation in Teton Literacy Center and Jackson Hole Children’s Museum out of school programs is voluntary and that my child and I/we are free to choose not to participate. I understand that participation in voluntary out of school activities includes risk of injury that may range in severity from minor to disabling to even death. Although serious injuries are not common in supervised school programs, it is impossible to eliminate the risk. 

I understand that Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers will not be liable for personal injuries and/or property damage as a result of my child’s participation in such programs or activities.

I/We, on behalf of myself and my minor child, agree to release, hold harmless and indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any loss, cost, damage and/or expense of any nature, including all attorneys’ fees and costs which I or my child may have resulting, either directly or indirectly, from my child’s participation in afterschool programs or activities. 

I/We give permission for our son/daughter to participate in all Teton Literacy Center and Jackson Hole Children’s Museum afterschool activities and do forever indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any and all actions, all known and unknown personal injuries or property damage of said minor arising out of said activities, and also all claims or right of action for damages which said minor has or hereafter may acquire. 

I understand that if my student, during the day, has any COVID-19 symptoms, my student cannot attend programs that day unless they have a negative COVID-19 test or written permission from a doctor. Students and families exposed to, or sick with COVID-19, will comply with the current state, county or local orders to quarantine, social distance or wear a mask to limit the risk of exposure to others.

I also have made arrangements to secure timely pick up of my child at the conclusion of each scheduled program. I understand that Parents/guardians are responsible for providing student transportation to and from activities.

I have read, understand and agree to comply with the requirements of the policies and procedures listed above. I realize that failure to comply with these requirements may result in loss of my funded space within this program. I/we accept the risk and responsibility of participation in Teton Literacy Center and Jackson Hole Children’s Museum afterschool programs and we Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers from any liability.

The Teton Literacy Center may photograph, interview or videotape my children to use for volunteer instruction, marketing purposes and/or program fundraising. Please indicate below whether your child’s writings or photograph may be used for these purposes:

Photographic Release. Participant does hereby grant and convey unto Teton Literacy Center all right, title, and interest in any and all photographic images, video and/or audio recordings made by TLC during the Participant's activities with TLC, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. I further grant to the Teton Literacy Center and its representatives the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of these images and recordings in any media now known or later developed as well as my/their name for promoting, publicizing or explaining the Teton Literacy Center and its activities and for administrative or educational purposes.

Important to know:

• Families will be notified of their bus invitation/waitlist status on Thursday, March 9. All families invited will be required to complete a form to accept their space on the bus.

• Students taking the bus after club will be automatically be placed on the bus at the end of the club every week. If you need to pick up at MMES, you must contact the club teacher before 1pm.

• If your student has received a space on the bus and is picked up from MMES more than three times, their space on the bus is subject to removal. Thank you for understanding that we have a long waiting list for the bus!

SOAR is a free eight-week intensive summer program for students exiting Kindergarten through 7th grade this school year. SOAR consists of four weeks of full-day programming and four weeks of half-day programming, designed to coincide with TCSD's summer program.

Each student enrolled must commit to attending all eight weeks of SOAR.

Dates:

Full Day: June 19th - July 13th

Elementary & Middle School Students: 9am - 4:30pm

Half Day: July 17th - August 10th

Elementary Students: 3pm - 5pm

Middle School Students: 1pm - 3pm 

Please only apply for TLC's SOAR if you can commit to all 8 weeks of programs!

This authorizes Teton Literacy Center and Teton County School District #1 to share written or verbal information regarding my child’s academic performance, diagnosis, history, including medication, progress, psychological and educational testing, medical and legal information, social welfare and rehabilitation, reports and other materials that are relevant to my child's care. I give my permission for the staff of Teton Literacy Center, this 21st CCLC program with services located at Teton Literacy Center, Munger Elementary School, and Jackson Hole Middle School to review my child’s academic and behavior progress reports or their report card in order to document growth and progress in my child during his/her time in this before/after school or summer program. This includes attendance, academic performance, teacher surveys and information about whether my child has an identified exceptionality, an Individual Education Plan or Academic Improvement Plan, and suggestions from my child’s teacher(s) on how my child can best be helped in the program. TLC will send Wyoming Department of Education grade reports from your child’s teacher using WISERID numbers where data will be aggregated at the state level to protect your child’s identification. This data is collected to evaluate the effectiveness of TLC programs.

I understand that my records are protected under the laws regarding confidentiality, and cannot be disclosed without written consent, except in specific situations.  This consent is valid throughout my child receiving services at Teton Literacy Center.

I/we understand that my child’s participation in Teton Literacy Center and Jackson Hole Children’s Museum out of school programs is voluntary and that my child and I/we are free to choose not to participate. I understand that participation in voluntary out of school activities includes risk of injury that may range in severity from minor to disabling to even death. Although serious injuries are not common in supervised school programs, it is impossible to eliminate the risk. 

I understand that Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers will not be liable for personal injuries and/or property damage as a result of my child’s participation in such programs or activities.

I/We, on behalf of myself and my minor child, agree to release, hold harmless and indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any loss, cost, damage and/or expense of any nature, including all attorneys’ fees and costs which I or my child may have resulting, either directly or indirectly, from my child’s participation in afterschool programs or activities. 

I/We give permission for our son/daughter to participate in all Teton Literacy Center and Jackson Hole Children’s Museum afterschool activities and do forever indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any and all actions, all known and unknown personal injuries or property damage of said minor arising out of said activities, and also all claims or right of action for damages which said minor has or hereafter may acquire. 

I also have made arrangements to secure timely pick up of my child at the conclusion of each scheduled program. I understand that Parents/guardians are responsible for providing student transportation to and from activities.

I have read, understand and agree to comply with the requirements of the policies and procedures listed above. I realize that failure to comply with these requirements may result in loss of my funded space within this program. I/we accept the risk and responsibility of participation in Teton Literacy Center and Jackson Hole Children’s Museum afterschool programs and we Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers from any liability.

I/we understand that my child’s participation in Teton Literacy Center and Jackson Hole Children’s Museum out of school programs is voluntary and that my child and I/we are free to choose not to participate. I understand that participation in voluntary out of school activities includes risk of injury that may range in severity from minor to disabling to even death. Although serious injuries are not common in supervised school programs, it is impossible to eliminate the risk. 

I understand that Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers will not be liable for personal injuries and/or property damage as a result of my child’s participation in such programs or activities.

I/We, on behalf of myself and my minor child, agree to release, hold harmless and indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any loss, cost, damage and/or expense of any nature, including all attorneys’ fees and costs which I or my child may have resulting, either directly or indirectly, from my child’s participation in afterschool programs or activities. 

I/We give permission for our son/daughter to participate in all Teton Literacy Center and Jackson Hole Children’s Museum afterschool activities and do forever indemnify Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers, from any and all actions, all known and unknown personal injuries or property damage of said minor arising out of said activities, and also all claims or right of action for damages which said minor has or hereafter may acquire. 

I understand that if my student, during the day, has any COVID-19 symptoms, my student cannot attend programs that day unless they have a negative COVID-19 test or written permission from a doctor. Students and families exposed to, or sick with COVID-19, will comply with the current state, county or local orders to quarantine, social distance or wear a mask to limit the risk of exposure to others.

I also have made arrangements to secure timely pick up of my child at the conclusion of each scheduled program. I understand that Parents/guardians are responsible for providing student transportation to and from activities.

I have read, understand and agree to comply with the requirements of the policies and procedures listed above. I realize that failure to comply with these requirements may result in loss of my funded space within this program. I/we accept the risk and responsibility of participation in Teton Literacy Center and Jackson Hole Children’s Museum afterschool programs and we Teton Literacy Center and Jackson Hole Children’s Museum, their employees, Board of Directors and volunteers from any liability.

The Teton Literacy Center may photograph, interview or videotape my children to use for volunteer instruction, marketing purposes and/or program fundraising. Please indicate below whether your child’s writings or photograph may be used for these purposes:

Photographic Release. Participant does hereby grant and convey unto Teton Literacy Center all right, title, and interest in any and all photographic images, video and/or audio recordings made by TLC during the Participant's activities with TLC, including, but not limited to, any royalties, proceeds, or other benefits derived from such photographs or recordings. I further grant to the Teton Literacy Center and its representatives the right to reproduce, use, exhibit, display, broadcast, distribute and create derivative works of these images and recordings in any media now known or later developed as well as my/their name for promoting, publicizing or explaining the Teton Literacy Center and its activities and for administrative or educational purposes.

Important to know:

• Families will be notified of their bus invitation/waitlist status on Thursday, March 9. All families invited will be required to complete a form to accept their space on the bus.
• Students taking the bus after club will be automatically be placed on the bus at the end of the club every week. If you need to pick up at MMES, you must contact the club teacher before 1pm.
• If your student has received a space on the bus and is picked up from MMES more than three times, their space on the bus is subject to removal. Thank you for understanding that we have a long waiting list for the bus!

SOAR is a free eight-week intensive summer program for students exiting Kindergarten through 7th grade this school year. SOAR consists of four weeks of full-day programming and four weeks of half-day programming, designed to coincide with TCSD's summer program.

Each student enrolled must commit to attending all eight weeks of SOAR.

Dates:

Full Day: June 19th - July 13th

Elementary & Middle School Students: 9am - 4:30pm

Half Day: July 17th - August 10th

Elementary Students: 3pm - 5pm

Middle School Students: 1pm - 3pm 

Please only apply for TLC's SOAR if you can commit to all 8 weeks of programs!