Little Llamas Enrollment Form

Little Llamas Program Year '25-'26

Enrollment Form
Reading Foundations
This is a semester long class that takes place on Fridays from 1 pm to 3 pm. In this class we focus on learning to read and reading strategies. Each child will be assessed on the first class and a tailored learning path will be created for them.

Playschool (Kinder Readiness)
This is a monthly class that takes place on Saturdays from 10 am to 2 pm. This is a class where students, through play, will learn all the skills needed to enter Kindergarten. Ages 4 - 6. **Must be able to use restroom independently**
What Program?
How many students are enrolling?
Student #1 Legal Name*

First NameLast Name
Student #1 Birthday*

MonthDayYear
Date
Student #2 Legal Name

First NameLast Name
Student #2 Birthday

MonthDayYear
Date
Student #3 Legal Name

First NameLast Name
Student #3 Birthday

MonthDayYear
Date
Do any students have a preferred name (that is different from their legal name)?
Parent Name*

First NameLast Name
Parent Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Does the student have/need an IEP or 504 Plan?*

YesNo
If yes, please describe the IEP or 504 Plan
Please submit copy of plan after enrollment approval.

Emergency Notification Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship to Student*
Please list all adults who are allowed to drop off/pick up student.
Valid, current ID will be needed for pick ups.

Does the Student have any food allergies?*

YesNo
If yes, please describe/list foods.
Does the student have any medical conditions/needs?*

YesNo
If yes, please describe.
Will the student require any medication during the day?*

YesNo
If yes, please describe.
There is no licensed nurse on staff - so parents would have to come and administer the medication.

What are your students interests and/or hobbies?
Do you have any educational concerns or subjects that your student needs more help on?*

YesNo
If yes, please describe.

Annual Registration
There is an annual resgistration per family of $25.
My Products
prevnext( X )
Registration Fee$25 per family
$25.00

Total

$0.00
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

Little Llamas Program Year '25-'26