Panther Club Enrollment Contract (one form per c
Childs Name: ____________________________ Grade as of September 2020:______
mail: _____________________________________ Phone: _________________________
To reserve your days, please select the days that you would like to enroll for the month. This must
be done by the 20
of the month for the next month, or a $25 Late Fee will be charged to your
Brightwheel Account. ALL payments and communication should be made through the
Panther Club Enrollment Policies:
● Emergency Contact Forms should be filled out entirely, Please leave no blank options.
There should also be ONE form filled out per student attending Panther Club
● Daily rate for Students: AM- $7.00, Extended Day- $15.00, Half Day- $7.00
and PM- $11.00
● Payment is due the 20th of each month. If there is more than one child in your family a
singular payment can be made under one child’s Brightwheel Account.
● You are responsible to pay for all days selected on your calendar. If for any reason your
child will not be attending Panther Club your Site Leader will need to be informed by 8pm
the night before via the Brightwheel App.
● Payment in the amount of $35 will be charged to your account for any payment
that comes back insufficient funds.
● A $25 late fee will be charged to your account if payment and calendar is not received by
the 20th of the prior month.
● The deadline to reserve your Panther Club days each month is the 20
of the prior month.
PARENT/GUARDIAN AGREEMENT: I, the parent/guardian of_______________ have read the
above Panther Club Enrollment Contract which shall become my obligation to Pitman Board of
Education. I fully understand this obligation and the reasons for its implementation. By signing
below, I am indicating that I have read and agreed to abide by all policies listed in the Parent