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JOIN US

You can now register online to join our

Rascals, Rainbow and Rockies programs!

Program Preferences

I would like my child to attend on the following days: (*please note that exact dates can be chosen for Rocies at a later time)

Child's Information

Contact Information

Family Information

Emergency Contacts

Health History (chronic or recurring)
Allergies
Attach Immunization Records

I hereby give Rainbow/Rascals/Rockies permission to call a doctor or emergency medical service and for the doctor, hospital, or medical service to provide emergency medical or surgical care for my child.

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It is understood that the child care provider will make a conscientious effort to locate the parent/guardians and emergency contacts listed on the registration document before any action will be taken. If it is not possible to locate emergency contacts listed, treatment will not be delayed. I/we will accept the expense of emergency transportation, medical or surgical treatment. 

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Except for gross or criminal negligence on the part of Rainbow/Rascals/Rockies, I assume all risks, which may be associated with participating in their program, and release, hold harmless, and indemnify Rainbow/Rascals/Rockies from responsibility for any occurrence, which may result in accident, injury, illness or harm of any kind to my child while he or she is in their care. 

Attach a copy of your driver's license

Parent/Guardian Signature

RAINBOW/RASCALS/ROCKIES Agreement

Please check each box to acknowledge your acceptance of the following terms.

I have read the registration packet in its entirety and understand Rainbow's policies and procedures.

I agree to allow Rainbow to obtain any medical attention for my child that they may think necessary at my expense.

I give my permission for my child to attend field trips with Rainbow. These will include walking trips, trips using the town shuttle and trips using the Rainbow bus.

I understand that it is my responsibility to sunscreen my child thoroughly every day and I give Rainbow permission to do touch up sunscreen on my child. Rainbow uses Alba SPF 45.

In case of small claims action, I agree to venue in San Miguel County.

I understand that Rainbow's earliest drop off time is 7:45am and latest pick up time is 5:15pm. I will respect these times and agree to pay $1/minute that my child is at Rainbow after 5:30pm. I also understand that I am required to arrive at Rainbow before 9am or wait until after 10am. 

I understand that I am required to leave Rainbow instructions on how I can be reached at all times. If my phone numbers or plans change, I will notify Rainbow. 

I agree to have Rainbow/Rascals/Rockies use my credit card on file to pay my bill if it is over 60 days overdue. 

I understand that in order to enroll in the Rainbow/Rascals/Rockies program, I will be billed $150 (15 tickets at $10 each) for the Fall Fundraiser raffle tickets. I can sell these raffle tickets to recoup this money or I can keep them for myself. Please see registration packet for more details on the Fall Fundraiser. 

Parent/Guardian Signature

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