Register

Steps for Registering

  • In order for your child(ren) to be officially enrolled with The Adventure Club, it is imperative that both your enrollment form and enrollment fees are completed and submitted at the same time.

  • After you submit both your enrollment form and enrollment fees, it is mandatory that you confirm The Adventure Club’s receipt of both the enrollment form and enrollment fees. You can ask for confirmation of receipt via email (info@theadventureclub.net) or by calling The Adventure Club’s corporate office (219-865-6283).

The Adventure Club requires that the enrollment form be completed and registration fee paid before your child's first day.

TAC does not discriminate on the basis of a person's religion, color, race, gender, sexual orientation, age, national origin, disability, or other factors protected by the law.

* Required

Child Information

First Name *
Last Name *
Nickname
Date of Birth *
/ /
Gender *
Male
Female
Primary Phone *
Child's Home Address *
City *
State *
Zip *
Siblings Attending TAC (Names/Grades)
First Name
Last Name
Grade
First Name
Last Name
Grade
First Name
Last Name
Grade
*Select the school where your child attends. For a Lake Central middle school child, you MUST also select the TAC site that your child will be attending.

*Please also provide grade, start date and the days when your child will attend TAC.
Lake Central: Bibich Homan Kolling Peifer Protsman Watson
  Clark Grimmer Kahler TAC Site Attending:
Lowell: Oak Hill LH Prairie Three Creeks
Munster: Eads Elliott Frank H. Hammond Wilbur Wright
        Middle School

Enrollment Time Period: Select One Only *
Full School year (August-May)   Mid-School year (January-May)   Summer (June-July)
Grade *
Start Date *
/ /
* Check all that apply. If these days change, notify your TAC Site. See parent handbook/website for phone numbers.
  Mon Tues Wed Thurs Fri Days will vary
AM
PM
For Summer School Registration Only (June & July)
What school will your child attend this Fall?
Child's T-Shirt Size (Select One)
Child Size: S M L   Adult Size: S M L XL
Billing (Must select only one)
Weekly Hourly

Parent/Guardian

* Is Parent/Guardian Employed by School? No   Yes   If yes, what position:   Which school:
Primary Parent First Name *
Last Name *
Relation to Child *
Primary Phone *
Secondary Phone
Home Address *
City *
State *
Zip *
Email (Home) *
Driver's License Number *
Driver's License State *
Employer Name and Address
Email (Work)
Work Phone/Extension
Secondary Parent First Name
Last Name
Relation to Child
Primary Phone
Secondary Phone
Home Address
City
State
Zip
Email (Home) *
Driver's License Number
Driver's License State
Employer Name and Address
Email (Work)
Work Phone/Extension
* Yes Paperless Billing   No Paperless Billing
If yes, you will receive a weekly invoice via email. If no, it is your responsibility to pick up weekly invoices at your TAC site. All payments are due weekly. Late fees of $5 per week are assessed if you do not pay by Friday at 6:00 pm.
* Provide 2 personal questions and answers for new pick-up authorization.
Question Answer
Question Answer

Emergency Contacts/Authorized Pick-Up Persons

Please notify your TAC Site whenever an emergency contact/authorized pick up person will pick-up your child.
First Name *
Last Name *
Relationship to Child *
Primary Phone *
Secondary Phone
First Name
Last Name
Relationship to Child
Primary Phone
Secondary Phone
First Name
Last Name
Relationship to Child
Primary Phone
Secondary Phone
First Name
Last Name
Relationship to Child
Primary Phone
Secondary Phone
  • You are authorizing the people listed above to pick-up your child from TAC.
  • TAC requires all authorized people including parents/guardians to show a government issued photo ID at the time of pick-up.
  • Identification questions listed on Page 1 will be used to confirm identity when calling in additional pick-up authorizations.
  • In the case of an emergency when the TAC's staff cannot reach you, we will call the persons designated above.

Court Ordered Denied Pick-Up

The following individuals are prohibited from picking up my child(ren) and/or having contact with my child(ren) by court order.
TAC must have a copy of the court order on file in order to deny pick-up.
First Name
Last Name
Relationship to Child
Phone #
First Name
Last Name
Relationship to Child
Phone #
Enrollment Agreement
Child's Health Information

Health Issues & Allergies *

None
Health Issue/Allergy Effect/Reaction Life Threatening? Special Instructions Including
Inhaler/Epi-Pen Usage
Diabetes Yes  No
Epilepsy Yes  No
Seizures Yes  No
Vision Yes  No
Hearing Yes  No
Food Yes  No
Respiratory/Asthma Yes  No
Bee Sting Yes  No
Other Yes  No
TAC does not administer medication with the exception of asthma inhalers and/or Epi-Pens. Ask for Medical Release Form

Medical Information

Physician's Name * Phone Number *
Dentist's Name Phone Number
Preferred Hospital/Clinic for Emergency Care

Medical Policies *

  1. If any changes regarding health issues or medical information occur, I agree to provide new information promptly.

  2. If my child is ill, I agree to pick up my child no later than one (1) hour after being contacted.

  3. I understand that each of the TAC Sites has staff certified by the American Heart Association in CPR and First Aid in order to handle minor injuries. If any injury appears serious of indeterminate, the staff will immediately call 911 as well as the parent/guardian or emergency contact numbers. I understand that the Adventure Club is standing in “local parentis” (in place of parents) and I/we hereby authorize The Adventure Club to exercise the duties and authority arising therefrom. I/we understand that The Adventure Club is acting on behalf of the parents with regard to my child, as such, I/we hereby grant permission for The Adventure Club staff to take whatever steps necessary to obtain medical care for my child.
I have read and agree with all TAC's Medical Policies.
Parent/Guardian Signature   Date   September 17, 2019
By checking the box above and entering your name here you are electronically agreeing and signing the TAC's Medical Policies.
Enrollment Agreement
Financial Responsibility

Program Hours

School Corporations AM
6:30 am – School Start
PM
School End – 6:00 pm
Summer (TBD)
6:30 am – 6:00 pm
Holiday Breaks (TBD)
6:30 am – 6:00 pm
Lake Central
Munster  
Tri-Creek    

When school is dismissed, students in the elementary schools and Wilbur Wright Middle School report to TAC in their building. If the program is not offered at your school, students are bussed from their elementary (Tri-Creek) or middle schools (LC Schools only) to their respective TAC locations where parents pick them up by 6:00 pm.

Emergency Dismissal
If school is dismissed early because of hazardous weather conditions or other emergencies, TAC will not be open. It is important that you have a family emergency plan in case of early dismissal because TAC will not notify you.

Delayed Start
In the event of a delayed start to the school day, TAC will be open. Delayed start fees are not included in the before school flat rate fee. Additional rates will begin at the time school normally starts.

Fee Schedule and Financial Terms *

  1. Enrollment fees are non-refundable and non-transferable. Each school year, parents need to enroll their child by completing an enrollment form, paying the enrollment fee, and providing a copy of their drivers' licenses. If there is an outstanding balance at the time of any enrollment, all monies must be paid in full.

  2. Select One (1) Only Enrollment Time Period Enrollment Fee (Per Child)
    Full School year (August-May) $55.00
    Mid-School year (January-May) $27.50
    Summer (June-July) $35.00

  3. Enrollment applications are required each summer and enrollment fees are additional.

  4. Before school rates are a flat fee based on the school corporation. All before care begins at 6:30 am and ends when school starts (8:00 am for LC and 9:00-9:30 am for Munster). If school has a delayed start, there is an additional hourly fee charged. After school care begins when school ends until 6:00 pm. It is an hourly rate with a one hour minimum. One-half hour rates apply after the first hour. For both before and after care, TAC gives discounts to families with 2, 3 and 4 children. Discounts are also given to school employees during school year. See our rate sheet at www.TheAdventureClub.com or call Corporate Office at (219) 865-6283 from 9:00 am – 6:00 pm.

  5. Invoices are generated every Monday for Lake Central and Wednesday for all other schools for care provided the prior week. Fees are due in full every Friday by 6:00 pm. Payments received by 6:00 pm each Friday will be reflected on the current invoice.

  6. A $5 late fee, per week, will be assessed to all accounts not paid in full each Friday.

  7. If a tuition balance remains outstanding after one week, a delinquent notice will be issued at the site for pick-up by the parent and a $5 late fee will be assessed to the account each week that tuition remains outstanding ($15 maximum charge). If a tuition balance remains outstanding for two weeks or more, the following will occur: a suspension notice will be issued at the site, a suspension notice and statement will be mailed or emailed to the primary parent, a suspension notice will be mailed via certified mail to the primary parent and school administration, an additional $5 late fee will be assessed, and the student will be suspended and dis-enrolled immediately from the program and unable to return until account is paid in full.

  8. TAC provides one weekly invoice and one year-end-statement via email or hard copy to the primary parent. Parents sharing separate financial responsibility are responsible for calculating and submitting one payment as we do not calculate separate bills. Year-end tax statements with the company's tax identification number will be available after January 31st. A $5 charge will be added to your account for each additional copy of statements.

  9. Include your child's full name and invoice number with all payments. TAC accepts the following forms of payment:
    • MasterCard, Visa, Discover, and American Express via PayPal (No fees)
    • Pay by phone at (219) 865-6283
    • Checks or money orders made payable to TAC (The Adventure Club)
    • There is a service charge of $35 for each returned check. NSF checks must be paid by money order or bank check and given to the Site Coordinator. After two NSF checks, fees must be paid by money order or bank check.
    • NO CASH PAYMENTS ACCEPTED

  10. Parents will have two weeks, from the invoice issue date, to dispute their invoices.

  11. TAC Staff must know when to expect your child so you are responsible for submitting your child's schedule one week in advance. If your child's schedule changes, you must notify TAC by calling your Site's answering machine. Failure to report any unscheduled changes either on or off will result in a $5.00 service charge per occurrence. See the Parent Handbook or the TAC website for the phone numbers at each site.

  12. Questions regarding billing should be directed to our billing department Monday through Friday from 9:00 am – 6:00 pm at (219) 865-6283 or emailed to info@TheAdventureClub.net.
I have read all the above information on the TAC Fees and Financial Terms. I acknowledge and agree to download/pick-up my weekly invoices, pay tuition every Friday by 6:00 pm along with any late fees of $5 if tuition is not paid on time weekly. I further agree to pay $15 per child for every 15 minutes my child(ren) is/are not picked up by closing time of 6:00 pm.
Parent/Guardian Signature   Date   September 17, 2019
By checking the box above and entering your name here you are electronically agreeing and signing the TAC's Fee Schedule and Financial Terms.
Enrollment Agreement
Terms & Certifications

Special Permissions

By checking the box's below and entering your name, you are electronically agreeing and signing to each item.
Walking Trips *
I give permission for my child to leave the Site for outdoor fitness and educational purposes, with the understanding that my child will be accompanied by TAC staff and under supervision at all times.
Parent/Guardian Signature

Date
September 17, 2019
Transportation *
I hereby grant permission for my child to participate in and be transported by commercial transportation companies while under staff supervision at all times for field trips and other TAC sponsored activities. I understand that children not attending TAC field trips will remain on-site with TAC staff.
Parent/Guardian Signature

Date
September 17, 2019
Playground/Water Activities *
I give permission for TAC to include my child in supervised playground and water activities. My child has my permission to use all the play equipment and take part in all TAC activities.
Parent/Guardian Signature

Date
September 17, 2019
Parent Handbook *
I have received, read, and agree to abide by the Parent Handbook.
Parent/Guardian Signature

Date
September 17, 2019
Sunscreen Permission (Summer Only)
I understand that TAC is not responsible for any injuries that may result from the sun. I give permission for my child to apply/wear SPF 30 sunscreen that I supply.
Parent/Guardian Signature

Date
September 17, 2019

Parent Release Agreement *

In consideration of the services to be provided by The Adventure Club, Inc., and for other good and valuable consideration, the undersigned, for myself and for my minor child, and any and all family members, heirs, representatives, executors, administrators, and assigns of myself or of my minor child, hereby accepts full responsibility and assumes all risk, for my minor child's use of any and all apparatuses, appliances, facilities, privileges or services, of any nature, which is/are owned, operated or provided by The Adventure Club, Inc. While engaging in any contact, game, function, exercise, competition or any other activity operating, organized, arranged, or sponsored by The Adventure Club, Inc. either on or off their premises, my minor child shall do so at his or her own risk.

I hereby release and hold forever harmless The Adventure Club, Inc., its owners, employees, representatives, and agents (collectively, “the releases”), and each of them, from any and all losses, claims, injuries, damages, or liability of any kind, sustained or incurred by us resulting therefrom, whether caused by the negligence of the releases or otherwise. I specifically agree to indemnify and hold harmless The Adventure Club, Inc., its owners, employees, representatives, and agents as to any loss, cost, claim, injury, damage or liability, sustained or incurred by using the facilities, equipment, or services, of The Adventure Club, Inc., which is caused by an act or omission, whether negligent or otherwise, of an employee, representative, or agent of The Adventure Club, Inc.

I understand/acknowledge that it is my responsibility to ensure that my minor child participates only in those activities for which he/she has the required physical conditioning. My signature below indicates that I have carefully read and freely signed this waiver, and constitutes my full acceptance of this waiver.

I understand that in an effort to prevent any potential conflict of interest, childcare outside TAC hours by TAC staff members is discouraged. However, should I hire TAC staff, it must be outside the TAC premises and with the understanding that such arrangements and payments for services are solely between me and the member. TAC does not sanction the arrangements, and I agree to hold TAC harmless from any such arrangement. If a center staff member chooses to baby-sit for an enrolled child, the Site staff member and I must request and sign a Liability Release Form to be kept in the child's file.

Thank you for enrolling your child at The Adventure Club. It is our mission to provide a before and after school program that is an Enriching, Inspiring, Educating and Exciting place for your child to learn and grow while meeting the childcare needs of our parents, the school and communities we serve.

Thank you for the opportunity to be a part of your child's life.

I have read all the above information on the TAC Parent Release Agreement.
Parent/Guardian Signature   Date   September 17, 2019
By checking the box above and entering your name here you are electronically agreeing and signing the TAC's Parent Release Agreement.

Offline Enrollment Forms

To register offline, please print the following Registration Form
Enrollment Form