2024-2025 KidZone Registration

KidZone - 2024-2025

Registration
Important Registration & Program Information
- Cost is $40 per family. Please make your check payable to OSLC with the word KidZone in the memo line. You can send the payment with your child on the first day or pay it when you pick your child up. The fee covers supplies and bus transportation provided by Prairie Hills Transit. Limited scholarships may be available. Please contact Beth at oslcyouth@rushmore.com if this is a need.
- YOU MUST COMPLETE A "PRAIRIE HILLS TRANSPORTATION" FORM if your student is going to ride the bus AT ALL, including going to the bowling alley in May. The form is at the end of this form or you can email me at oslcyouth@rushmore.com and I can email the form to you.
- Registration is limited to 30 students and will close when that number has been reached.
- Pick Up Time: All Students must be signed out and picked up by a responsible adult. Please do your very best to pick up your child by 5:00pm. THANK YOU IN ADVANCE!
- SNACKS & Allergies: We serve snacks a minimum of two times during KidZone. We have one larger snack of a protein, a fruit and a carb. The second snack is usually a granola bar or rice krispie treat.
- We do have limited dairy free/gluten free snacks available. If your student requires special dietary items, please send a generous snack for them.
I have read the above statements and agree to them.*

I will do my very best to pick up my child by 5:00pm

Child's Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Grade for the 2024-2025 school year*
Any Allergies or Medical Conditions?*

YesNo
Please provide details. You may also use this space to tell us anything else we should know about your child.

Parent/Guardian Name*

First NameLast Name
Email that you check often*
example@example.com
Cell number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name*

First NameLast Name
Relationship*
Phone Number*
Please enter a valid phone number.
I, undersigned, agree with the following statements:

I am the parent/guardian of the child indicated above.If emergency medical care is needed and I am unavailable, I authorize the supervising teacher to seek medical treatment for my child.I am giving my permission to take my child's pictures for classroom projects and post them on the church website.
Date

MonthDayYear
Date
Signature

Clear

KidZone - 2024-2025