Summer 2021 Kimball Cubs Club Registration Form:
Kimball Cubs Club School Age Child Care Program provides child care for children ages 3 (completely toilet trained) through 5th grade. We are open Monday through Friday 6:30 a.m. to 5:30 p.m. following the District Calendar.

Please fill out a google doc form for each child in your family needing child care over the summer months. We are glad that you have chosen to spend some memorable moments with us this summer. We look forward to an exciting summer, filled with tremendous experiences only Cubs Club can offer.

Please reach out if you have any questions or concerns. holly.barthel@kimball.k12.mn.us or 320-398-7700 ext. 2555

Best Regards,

Holly Barthel
Kimball Cubs Club Coordinator
School Age Child Care Program
Email *
Child's First Name:
Child's Last Name:
Child's Date of Birth:
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In the Fall of 2021 My Child Will Be Attending:
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My Child's T-Shirt size:
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My Child Will Be Attending:
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Daily Rates are as followed:
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My Child's Weekly Schedule Will Be:
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My Child Will Be Here On Mondays From: (Drop-off and Pick-Up Time)
My Child Will Be Here On Tuesdays From: (Drop-off and Pick-Up Time)
My Child Will Be Here On Wednesdays From: (Drop-off and Pick-Up Time)
My Child Will Be Here On Thursdays From: (Drop-off and Pick-Up Time)
My Child Will Be Here On Fridays From: (Drop-off and Pick-Up Time)
I give the Program Coordinator, Holly Barthel, permission to charge my debit/credit card on my rSchool Today account for our summer enrollment fee of $30 per child ($35 per child after enrollment deadline-April 16th, 2021.) This will help cover costs for T-shirts, afternoon snack, field trip expenses, and Cubs Club water bottles that will remain at Cubs Club over the summer months.
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In checking each box, I understand and agree to the following: (please check each box you agree to)
By signing this agreement I have read and agree to the 2021 Kimball Cubs Club Summer Program.
If you have any comments, questions, or concerns please list below:
Thank you all for taking the time to complete this google doc form. I greatly appreciate it! We are looking forward to the best summer yet and we can't wait to have some fun in the sun!!!
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