MannPower Program
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Create Login Information

Must have 8 characters, at least one Upper Case letter, and at least one number.


Required Information

**Note that required fields are in bold**
First Name
Middle Initial
Last Name
Email Address
Address Line 1
Address Line 2
City
State
Zip Code
Phone Number
Please Note:: When creating your initial account, please select the Guardian option and fill out the guardian information on this form. Only after signing up your guardian, then sign up your student/s as a Family Member(s).
Guardian or Student?
Date of Birth
Calendar
Gender
Teacher
Emergency Contact Name
Emergency Contact Phone
Mobile Phone
Please Accept Class Registration Terms and Conditions: Parents/guardians are responsible for picking up their children in the lobby on time at the end of class from the program teacher or designated monitor. If parents/ guardians cannot pick up a child on time they should arrange with a friend, neighbor or family member for a timely pick up. If a child is not picked up at the end of class the program teacher, monitor, or administrator will contact parents using the emergency contact number(s) to make arrangements for pick up. At no time will a program teacher or monitor leave a student without adult supervision.

If parents/guardians arrive consistently late for pickup, or if behavior is disruptive, the student will no longer be able to participate in the class. Thanks in advance for your cooperation. The MannPower Team

Waiver

Please read this form carefully and be aware that in signing up and participating in after school programs at Mann you will be assuming the risk and legal liability and waiving and releasing all claims for injuries, damages or loss which your child/ward might sustain as a result of participation in any and all activities connected with and associated with this program: I recognize and acknowledge that there are certain risks of physical injury to participants in this program and I voluntarily agree to assume the full risk of any injuries, damages or loss regardless of severity that my child/ward may sustain as a result of participation in any and all activities connected with or associated with this program. I further agree to waive and relinquish all claims my child/ward may have as a result of participating in this program against Mann Elementary School PTO, District 97 and Mann Elementary School, including respective officials, agents, volunteers and employees (hereinafter referred to as “the parties"). I do hereby fully release and forever discharge the Parties from any and all claims for injuries, damages or loss that my minor child/ward may have or which may accrue to my minor child/ward and arising out of, connected with, or in any way associated with this program. I further agree that this agreement shall be governed by the State of Illinois. I have read and fully understand the above waiver and release of all claims and assumption of risk.


Do you want to add Family Member(s) to your account?