News Flash
Registration Form



 
Basic Information
 
  *
 
  *
 
  *
 
 
 
  *
 
  *
 
  *
 
  *
 
  *
 
  *
 
Personal Information
 
  Child lives with: 
     
     
     
     
     
 
  * Sex:
     
     
 
  Personal information about child (Please check any of the following health concerns that apply to your child) 
     
     
     
     
     
     
     
 
 
 
 
 
 
 

 
Parent #1 Information
 
  *
 
  *
 
  *
 
  *
 
  *
 
  *
 
  *
 
 
 

 
Parent #2 Information 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
Tiger Time Permission and Releases

PUBLICITY PERMISSION

In the event the Tiger Time program students are included in any newspaper, social media, school website, radio, or television publicity, I give permission for my child to be included in the pictures and the release of their name.


POLICY AGREEMENT

I recognize my responsibility to respect the rules of the Tiger Time program as well as my responsibility to help my child respect the rules needed to provide a positive experience for all participants.


RECORDS RELEASE

I hereby authorize my child's former school to release a copy of my child's most recent school records, including but not limited to: immunization and physical exam records, special needs assessments, and IEP’s in order to enable the tiger Time program to better meet the needs of my child.


FIELD TRIP PERMISSION

Field trips may be planned from time to time as part of the activities of the Tiger Time program. I give my consent for my child to take part in field trips under proper supervision. I understand that I will have prior notification of all field trips out of town. Walking outings off school grounds that stay in town may not have prior notification. Examples are to the park, pool, library.


NON-PRESCRIPTION MEDICATION PERMISSION

I hereby give the Tiger Time program permission to apply or administer any of the following.

  • Sunscreen (must be provided in a labeled container by parent)
  • Insect repellent (must be provided in a labeled container by parent)
  • Medical supplies: such as band aids, adhesive tape, hydrogen peroxide, antiseptic wipes, etc....
TRANSPORTATION CONSENT

I hereby give the employees of Tiger Time permission to transport my child in a school issued vehicle to activities within the city limits of Lake City as necessary. I understand that I will be notified in advance of any arranged trips that would involve my child being transported by Tiger Time personnel.


MOVIE/MEDIA RELEASE

I hereby give the Tiger Time permission to show my child movies rated PG while in care at the school.

 
  * Choose agree or disagree after reading the Tiger Time Permissions and Releases
     
     
 

 
  When will your child be attending Tiger Time? (select all that apply) 
     
     
     
     
 
Authorized Pick-up
 
 
 
*Children will only be released from Tiger Time when signed out by an authorized person, parent or guardian.
 
 
 

 
Name of friends or relatives to call in case of illness or emergency if you cannot be reached:
 
  *
 
  *
 
  *
 
  *
 
  *
 
  *
 
  *
 
  *
 

 
Parent/Guardian Childcare Contract

I have read and understand the contents of the Tiger Time Parent/Guardian handbook.  I agree to abide by the policies contained within.


 
 
  *
 
  *
 
  *
 
*this handbook may be changed or amended during the school year - changes will be provided to the parents in the parent folders and online - if you have any questions about a provision, contact the program coordinator
 




  Send a copy of the completed form to this email address : 


* Indicates Required fields.


Contact Info
Superintendent's Office
(651) 345-2198
300 South Garden Street
Lake City, MN 55041


Lincoln High School
(651) 345-4553
300 South Garden Street
Lake City, MN 55041


Lincoln Attendance
(651) 345-4472

Lincoln High School Fax
(651) 345-5894
Bluff View Elementary 
(651) 345-4551
1156 West Lakewood Ave.
Lake City, MN 55041


Bluff View Attendance 
(651) 345-4528

Activities Director
(651) 345-2850
300 South Garden Street


Community Education 
(651) 345-7006
300 South Garden Street