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Grand Rapids Christian Schools Kids Care

2021-2022 School Year

Kids Care Registration and Child Information Record


 

Required

State of Michigan Department of Licensing and Regulatory Affairs Child Care Licensing

Instructions: Unless otherwise indicated, all requested information must be provided. If the information is not known or does not apply, "unknown" or "none" is the required response. A blank field, a line through a field, or "N/A" are not acceptable responses.

Campus Selectionrequired

Due to the high demand Kids at Evergreen is currently full.

If you are interested in being placed on a waitlist for After Care at Iroquois, please contact Katelynn McKellar at kmckellar@grcs.org.

Due to the high demand Kids at Iroquois is currently full.

If you are interested in being placed on a waitlist for After Care at Iroquois, please contact Katelynn McKellar at kmckellar@grcs.org.

Due to the high demand Kids Care at Rockford Christian is currently full.

There are some part-time options available. If you are interested please contact Emily Jansen at ejansen@grcs.org to discuss options before completing the registration. 

Child 1 Namerequired
First Name
Middle Initial
Last Name
Must contain a date in M/D/YYYY format
Child 1 Home Addressrequired
Address
City
State
Zip
Child 1 Medical: Does your child have any medical needs, special needs, allergies, special instructions, or activity restrictions?required
Child 1 Health and Immunizationsrequired
Child 2 Namerequired
First Name
Middle Initial
Last Name
Must contain a date in M/D/YYYY format
Child 2 Home Addressrequired
Address
City
State
Zip
Child 2 Medical: Does your child have any medical needs, special needs, allergies, special instructions, or activity restrictions?
Child 2 Health and Immunizationsrequired
Child 3 Namerequired
First Name
Middle Initial
Last Name
Must contain a date in M/D/YYYY format
Child 3 Home Addressrequired
Address
City
State
Zip
Child 3 Medical: Does your child have any medical needs, special needs, allergies, special instructions, or activity restrictions?
Child 3 Health and Immunizatonsrequired

Program Options

Yearly Tuition Rates

  Before Care After Care
until 5:00 pm
After Care
until 6:00 pm
5 Days $810 $1,620 $2,430
4 Days $720 $1,440 $2,160
3 Days $540 $1,080 $1,620
2 Days $360 $720 $1,080
1 Day $180 $360 $540
As needed $10 $20 $20

5:00 pm pick-up:  If your child is not picked up by 5:00 pm, you will be charged an additional $10.00.

6:00 pm pick-up: a $15 late fee will be charged per child for each additional 10-minute increment when students are not picked up by 6:00 pm.

Kids Care Optionsrequired

Due to the high demand After Care at Iroquois is currently full.

If you are interested in being placed on a waitlist for After Care at Iroquois, please contact Katelynn McKellar at kmckellar@grcs.org.

Before Care OptionsSelect the number of days your child(ren) will be participating in Before Care.​​ ​​​​
Select the number of days your child(ren) will be participating in Before Care.​​ ​​​​
After Care until 5:00 pm OptionsSelect the number of days your child(ren) will be participating in After Care until 5:00 pm.
Select the number of days your child(ren) will be participating in After Care until 5:00 pm.
After Care until 6:00 pm OptionsSelect the number of days your child(ren) will be participating in After Care until 6:00 pm
Select the number of days your child(ren) will be participating in After Care until 6:00 pm
Monday
Tuesday
Wednesday
Thursday
Friday
As Needed Care
The as-needed rate for Before School care is $10 per day.
The as-needed rate for After School care is $20 per day.

Families who use Kids Care on an as-needed basis must confirm space availability at least 24 hours prior to each use and will be charged the as-needed daily rate. To confirm space availability, contact the Kids Care Director, Katelynn McKellar, at KMcKellar@grcs.org (Evergreen/Iroquois) or Emily Jansen at EJansen@grcs.org (Rockford Christian).

Please add any notes regarding scheduling.

Parent/Guardian Information

Parent/Guardian 1required
First Name
Last Name
Home Addressrequired
Address
City
State
Zip
Phone Typerequired
Are you are a current employee of Grand Rapids Christian Schools?required
Is there a second parent/guardian you would like to add?required
Parent/Guardian 2required
First Name
Last Name
Home Addressrequired
Address
City
State
Zip
Phone Typerequired
Are you are a current employee of Grand Rapids Christian Schools?
PLEASE NOTE: As a valued member of the GRCS staff, you qualify for a reduced Kids Care rate. Contact Katelynn McKellar at KMcKellar@grcs.org.

Emergency Contact and Release of Child:

List all individuals, including parents/legal guardians, in order of preference, to be contacted in an emergency. If possible, include at least one person other than the parents/legal guardians to be contacted in an emergency and to whom the child can be released. The second phone number option can be left blank. Use additional space for more individuals.

First Name, Last Name, Phone Number(s)
First Name, Last Name, Phone Number(s)
First Name, Last Name, Phone Number(s)
Please include first name, last name, and a phone number for each individual. ​

Release Child Only:

List all individuals, other than parents/legal guardians, to whom the child may be released. Use additional space for more individuals.

First Name, Last Name, Phone Number(s)
First Name, Last Name, Phone Number(s)
First Name, Last Name, Phone Number(s)
Please include first name, last name, and a phone number for each individual. ​

Authorizations

SMART Tuitionrequired

Please review the Grand Rapids Christian Schools Kids Care Parent Handbook.

GRCS Kids Care Handbook

Handbookrequired
Must contain a date in M/D/YYYY format

Payment Information

Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired
Expirationrequired