Park Township           Ottawa County, Michigan


Home
Up

Tot Time Registration & Forms

Tot Time is licensed by the FIA for 30, but enrollment is limited to 24 in the Monday/Wednesday and Monday/Wednesday/Friday classes and to 20 in the Tuesday/Thursday morning class.  To register or to be placed on a waiting list, please complete the Registration Form and your child's name will be placed on a list in order of receipt.  You will receive enrollment verification immediately and materials will be mailed in early May.

  • Age requirements: A child who will be three between December 2 and July 15 prior to beginning Tot Time in September is eligible for the Tuesday/Thursday morning class.  A child who will be four by December l following Tot Time's September start-up is eligible for the Monday/Wednesday morning class.  A child who is four by July 15 preceding September's start-up is eligible for the Monday/Wednesday/Friday afternoon class.

  • Residency requirements: Tot Time is open to all area residents.  

Registration Forms

  • Inoculation requirements: Act No. 368, Sec. 9211, states that a parent registering a pre-school child in a program of group residence or care shall present to the operator of the program not later than the first day a certificate of immunization.  The operator of the group program shall not permit a child to attend the group activity unless the child has completed the following basic immunization series: 4 DPT, 3 Polio, 1 MMR, 4 Hib, 3 HepB, 1 varicella, and pneumococcal conjugate.  

  • Health Appraisal Form: Any child enrolling in Tot Time must have a Michigan Health Department Health Appraisal form signed by a licensed medical doctor and dated within one year prior to enrollment.

  • Other forms: For special circumstances an Immunization Waiver Form and/or a Medical Contraindication Form may exempt your child from a particular vaccination.

Click on the [thumbnail] picture to enlarge the image.

health.jpg (49060 bytes)  health2.jpg (53128 bytes)  form1.jpg (31298 bytes)  med.jpg (21064 bytes)

For a printer-friendly version click here:  Registration Form

REGISTRATION IS NOW OPEN FOR THE 2008-2009 SCHOOL YEAR

To register, please complete the form below and send it to info@parktownship.org, fax it to (616) 399-8540, or mail it to Mary Alice Ritsema, 3236 Silver Acres Drive, Saugatuck, MI 49453

 

Child's Name_________________________________ Birth date______________

Mother's Name______________________________________________________

Father's Name______________________________________________________

Address____________________________________________________________

Township in which reside______________________________________________

Phone numbers:

Home_________________Work________________Cell_______­______________

 Please check session desired:  

   q       Monday/Wednesday 9:30-11:30 for children born by 12/1/04 
   q       Monday/Wednesday/Friday 12:30-2:30 for those born by 7/15/04 
   q       Tuesday/Thursday 9:30-11:30 for those born by 7/15/05   


Go to Tot Time
Go to General Information
Go to Calendar of Events