Growing with Christ Tutoring & Athletic Program
Child’s Name____________________________ School
Time of dismissal________________________
Child’s Age and Date Of Birth (As of August 24, 2009)_____________________________
Home Zip Code _____________________
E- Emergency Name_________________
Cell Phone Emergency Contact _______________
FEES: $85 PER WEEK FOR HOURS BETWEEN 2-6PM with minimal homework help.
Additional fees apply for homework assistance and for one-on-one tutoring.
$100 FOR 1:6 RATIO HOMEWORK HELP
$130 FOR ONE-ON-ONE TUTORING 2 DAYS A WEEK 1 HOUR A DAY
For basic, full-time aftercare a $10 discount applies for siblings ONLY!!!
Part-time is available for $70 for a minimum of 3 days and additional fees apply for homework
assistance and one-on-one tutoring. NO DISCOUNTS FOR SIBLINGS IF PART-TIME.
Payments are due the Friday before the week your child/children are participating. If payment is not
received a late fee will be added of $30 each day there after and we will not pick up your child until we
receive payment. If a check is returned, the fee is $35. If you fail to inform us that your child is out of
school after 10:00 am the day they are out, you will be charged $25, NO EXCEPTIONS.
WWC will provide free full day care for days schools are closed, except for federal holidays, Dec.
23-26, and spring break. Spring break week, will be a flat fee of $175 which includes snacks and
drinks. A list of days will be provided at orientation.
. After care begins August 24, 2009-June 10, 2010 The hours are 2pm-6pm. Your child will be picked up by Van
from school to Trinity Lutheran Church located at 6600 Laurel-Bowie Rd, Bowie, MD 20715.
If the child is under 8 or 80LBS you must provide a booster seat according to MD state law. You must notify the
school and the camp of the necessary information to allow for pick up to occur. The school will not release them to us
unless you have notified them first. This is your responsibility.
*Policies:.First payment is due by Aug 14, 2009 for the 1 week of aftercare
Late Fees: If you are late picking your child up, you will be charged $1 per minute after 6:00pm
Refunds: Refunds are going to be given up until August 24, 2009, after that date refunds will not issued. Registration is
A two week notice is required for canceling Aftercare services.
Our dedicated staff and counselors oversee children at all times.
Children must bring a snack and drink for the aftercare program or they may purchase snacks and drinks at .$50 an
World Wide Community reserves the right to photograph and video record classes for the purposes of advertising, scrap
booking and crafts.
Your child is registered only when we receive your completed registration form, medical forms, enrollment
agreement, and deposit mailed to our office: 12923 Marquette Lane, Bowie, MD 20715. If your child was a part of
Camping with Christ, you do not need to fill out an Emergency form again unless there are changes that need to be
World Wide Community Enrollment Agreement
Child’s Name: ________________________________. Parent's Name: _________________________________.
Parent's Address: _____________________________. Phone Number: ________________________________.
1. The undersigned parent or guardian (Parent) of the above child agrees to pay World Wide Community the non-refundable,
non transferable fee of $45 for registration per child, no exceptions. There are no discounts other than sibling, which is
$10 and only applies to basic aftercare.
2. The parent understands that time and date for each of the 1week sessions has been pre-determined by the Program and
provided in advance of the parent.
3. The parent understands and agrees that there is no credit or refund for missed or unused sessions and that all fees paid to
the program and all fees are non-refundable and non-transferable.
4. The Parent understands and agrees that the Directors/Teachers of the program have the right to terminate the enrollment of
any child from the program, at any time if the Director/Teacher, in her sole discretion, determines that the continued
attendance of the child in the Program is not in the best interest of the child or the Program, the undersigned acknowledges
and agrees that the student’s enrollment may be terminated for a violation of the rules or regulations of the Program, at the
Program’s sole discretion, without any refund or cancellation of tuition, which the undersigned nevertheless agrees to pay in
accordance with the terms of this contract.
5. The Parent grants the Program and its Events permission to include photographs and videos taken during the sessions and
events, in which his/her child may appear in program literature, informational and /or promotional materials.
6. In the event that the Parent cannot be reached and a situation arises which the Program Director/ Teacher defines as an
emergency, the parent hereby grants permission to the Program Director/Teacher to secure and provide for necessary medical
treatment, including hospitalization.
7. The Parent understands that the Program does not have the services of a nurse or other medical personnel on premises to
administer medication or provide medical treatment. The undersigned acknowledges and agrees that, to the extent that the
student is required to be administered medication during the time that the child is in the program that, non-medical staff
would administer such medication.
8. I/we the Parent of the above child understand that part of the experiences that my/our child will be having may be new to
my child, and they come with certain risks and uncertainties beyond what my child may be used to dealing with at home or
in his/her school environment. I/we realize that no environment is risk-free, and we are prepared to assume on behalf of our
child, the risk involved in his/her participation in the GROWING WITH CHRIST AFTER CARE program. The Parent
furthermore releases and holds harmless the Program, its agents and employees from all claims, damages or other liability for
injury to the student where such claims, damages, or other liability is not the result of gross negligence by the Program, its
agents, or employees. The Parent further agrees and acknowledges that the Program is not responsible for any medical
expenses for the child.
Father or Guardian Mother or Guardian
By signing above, I, the Father, Mother or Guardian listed above permit my child/children to be released from World Wide
Community, Growing with Christ after care program, to the adults listed below.
EACH DAY THAT SOMEONE ELSE BESIDES THE PARENT OR GUARDIAN PICKS THE CHILD UP, THEY
MUST COME IN TO SIGN IN/OUT AND SHOW HIS/HER ID TO AFTER CARE COUNSELOR!
1.________________________________ 2. _________________________ 3._____________________