at each building. Registering your student does not guarantee your student a spot in the Adventuretime Before/After
School Program. If there is not a spot available at the time of your registration, your child will then be placed on a waiting
list.
Emergency Forms:
❏ All students must have an updated 2023-2024 Adventuretime Emergency Form on file before attending
before/after school programming. It is a DHS requirement that all emergency forms are updated at the beginning
of each school year.
❏ The Adventuretime Office will send the 2023-2024 Emergency Form via DocuSign to complete and submit. This
form must be completed by Wednesday, June 14, 2023 (Karen Acres Flex Calendar) or Friday, July 28,
2023 (Schools on the Traditional Calendar).
Physicals & Immunizations Documentation:
❏ All students must have their most recent physical and immunization records on file before attending before/after
school programming. This is a DHS requirement. If this documentation has already been provided to the school
please let our office staff know and we will obtain a copy from the school health office.
Rates:
❏ There is a one-time, non-refundable registration fee of $40.00.
❏ Rates are based on 180 actual school days and are billed on a 9 month prorated schedule. Monthly payments
remain the same from September 1, 2023 – May 1, 2024.
❏ Teacher In-service days and recess days are not included in the 180 actual school days. You must register and
pay an additional cost for all day childcare.
1. Before School and After School (5 days/week)
4. Late Start Mornings and After School Care
5. All-Day Program (In-Service, Recess, or No
school Days)
Payment Information:
❏ Monthly payments are due on the 1
st
day of each month. Monthly credit card payments can be paid online at
http://urbandaleschools.revtrak.net. Monthly payments by cash or check in the Adventuretime office.
❏ Weekly payments must be paid in the Adventuretime office by cash or check. The Adventuretime office is open
from 7:00 am-4:30 pm. Please notify the office if you would like to set up a weekly payment system.
❏ Mailed payments can be sent to 7110 Prairie Avenue, Urbandale, IA 50322. Mailed payments must be received
in the Adventuretime office by the 1
st
if making monthly payments and by Monday if making weekly payments.
❏ Automatic payments made through your bank must be sent by the 24
th
of the month so the check is received in
the Adventuretime office by the 1
st
of the month.
❏ Monthly/weekly payments may NOT be dropped off at building sites.
❏ Automatic monthly payments may be made by credit card, contact the Adventuretime office for more information
or access the form here Credit Card Authorization.
❏ There is a $2.00 Late Pick-Up fee for each minute after 6:00 pm. If parents or emergency contacts can’t be
reached by 6:30 pm, the Urbandale Police must be contacted. After 3 late pick-ups your child may be asked to
leave the program.
❏ No refunds will be issued for unused childcare. Please inform the Adventuretime Office if you will no longer be
using the Adventuretime Before/After school program.
Late Payments:
❏ Families that have not made their monthly payment by the 1st of each month (or next business day if the 1st falls
on a weekend or holiday) will be charged a $25.00 late fee that will be automatically added to their account.
❏ Families that have not made their weekly payment by Monday at 6:00 p.m. will receive a $25.00 late fee that will
be automatically added to their account.
❏ Families that have not made their monthly payment by the 10th of the month will receive a reminder phone
call and letter.