2023- 2024 After School Registration

2023-2024 After School Registration

Pick up available from Killearn Lakes Elementary and Hawks Rise Elementary
August 10,2023 - Last Day of School ( Leon County)

Location: 8116 Killearn Plaza Circle Ste 104, Tallahassee, FL, 32312

AGES: 5-11

M-F: 2:45-5:30pm

$115/Week
Child's Information
Child's Name

First NameLast Name
Birth Date

MonthDayYear
2023-2024 School *
2023-2024 Grade Level
Gender

MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Child's Information
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Gender

MaleFemale
2023-2024 School
2023-2024 Grade Level
Parent/Guardian Information
Select if this is the billing responsible party

Please send all billing information to me
Name

First NameLast Name
Cell Number
E-mail
example@example.com
Parent/Guardian Information
Select if this is the billing responsible party

Please send all billing information to me
Name

First NameLast Name
Cell Number
E-mail
example@example.com
Additonal Pick-up

All additional pickup persons must be 18 years of age or older
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the child prescribed an inhaler? If yes, please explain any instructions.
Type a question
Select the space below to grant or not grant permission for your child's photos to be used in promotional material. This includes ads, social media campaigns, and/or online advertising.*

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General Rules

Conduct: As a Christian organization, Little Lambs Children’s Center expects a high standard of conduct and dress. Little Lambs reserve the right to ask students to change improper clothing and dismiss anyone for misconduct (no refund will be made). Tobacco, drugs, alcohol, profanity, disrespect, bullying, fighting, unbiblical remarks and gestures will not be accepted.

Students are discouraged from bringing cell phones and other electronics. Staff may confiscate any electronics which create a distraction from camp activities. Dress shall always be modest.

The following are not permitted:

1. Shorts above the knee (they must be to the knee)
2. Midriff, see-through, or low-neckline shirts
3. Clothing with inappropriate words or images
4. Bikini-style swimwear (male or female)

The only relationship permitted between students are friendships.

Snacks: Little Lambs will provide 1 (one) afternoon snack.
Sick Policy

By registering my child for After School, I understand that I agree to all the health and safety protocols put in place. I understand there is no guarantee that my child or myself will not become ill while in the after school program.

I AGREE to notify staff IMMEDIATELY of any new illness symptoms while attending camp.

What we are REQUIRING:

• Campers who have had Covid-19 symptoms or exposure and/or a positive Covid-19 test within five (5) days are to stay home and inform us.
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Little Lambs Children's Center . I assume all risks and hazards incidental to the conduct of the activities and release, absolve, and hold harmless Little Lambs and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from after school sessions.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Billing

The registration fee ($50) is due upon submission of the application. You will be billed seven (7) days in advance to pay each week. If the payment is not collected within seven (7) days of the invoice date, your child may lose their spot. Payment links will be sent via email to the responsible party for billing.
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After School RegistrationThis registration fee enrolls the student in the afterschool program for the 23-24 school year. Please submit a registration fee for each child enrolled.
$50.00 Quantity

Total

$0.00

Payment Methods

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2023-2024 After School Registration

Child's Information

Additional Child's Information

Additonal Pick-up