2025 Fall Laker Playgroup Registration

2025 Fall Laker Playgroup Registration
FALL SESSION 2025

Dates: September 24 | October 1, 8, 15, 22, 29 | November 5, 12 (2025)

Days/Time: Wednesdays from 10:30 a.m. - 12 p.m. (8 classes)

Ages: 18 months to 3 years old

Where: ULS campus - meet outside Manegold Lower School Building

Cost: $300 includes one child and a maximum of two adults.

Additional sibling(s): $225; must meet the minimum age requirement of the program and must be accompanied by an additional adult.

Every child who attends must be registered.
Please note:

- No refunds will be given after the first day of Laker Playgroup.

- Fall Laker Playgroup will be held indoors and outdoors depending on the activity and weather.

- Please bring your own drink and snack, as well as sunscreen and appropriate outdoor clothing/footwear.

- Please bring a change of clothes just in case :)
Child Name*

First NameLast Name
Birthdate*

MonthDayYear
Date
Gender of Child*
Allergies, Medications and/or Health Plan*
If none, please type N/A
2nd Child Name (if applicable)

First NameLast Name
Birthdate of 2nd Child

MonthDayYear
Date
Gender of 2nd Child
Allergies, Medications and/or Health Plan
If none, please type N/A
3rd Child Name (if applicable)

First NameLast Name
Birthdate of 3rd Child

MonthDayYear
Date
Gender of 3rd Child
Allergies, Medications and/or Health Plan
If none, please type N/A
Parent/Guardian Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number*

Area CodePhone Number
Parent/Guardian Name

First NameLast Name
Email
example@example.com
Cell Phone Number

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Caregiver's Name (if different from parents/guardians)

First NameLast Name
Cell Phone Number

Area CodePhone Number
Email
example@example.com
Photo/Video Release: Laker Playgroup students and caregivers may be photographed or videotaped during class. We may choose to use these photos/videos in social media, on our website, or in other marketing materials without using full names. By checking YES below, I consent to the use of photos/videos of my child and waive all claims for compensation.*

YES, I consentNO, I do not consent
E-Signature: I understand that I am enrolling my child in Fall Laker Playgroup. *

Clear
Date*

MonthDayYear
Date

My Products

2025 Fall Laker Playgroup$300.00

September 24 | October 1, 8, 15, 22, 29 | November 5, 12 (Wednesdays from 10:30 a.m. - 12 p.m.)

Additional Sibling (must be age 18 months to 3 years old)$225.00

* Must be accompanied by an additional adult.

# of Additional Siblings

Enter coupon

Total $0.00

Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
Should be Empty: