Little Sharks Learning Center Registration
Language
  • English (UK)
  • Español

  • Little Sharks Learning Center Registration Form

    All registrations are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.

  • Student Information

    If you have already filled out this form for one of your children, no need to fill out the whole form again. Please, fill out our shorter "Additional Student Information Form" for each additional child.
  • Gender*

  • Immunization Records:

    This is required before your child can attend school, and must be updated annually. You can find your child's immunization records at: https://flshotsusers.com/patients-and-parents/request-your-immunization-records If your child does not have a shot record for religious reasons, you must upload the Religious Exemption form instead (DH Form 680)
  • Sign here stating that you have been made aware that some children at Little Sharks Learning Center may be exempt from immunizations due to religious beliefs.*
  • Is your child immunized? And are their Shots are up to date?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Health Records

    Each child needs to have an up to date physical, within one year of enrollment. This must be submitted within 30-days of enrollment.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Does your child have any allergies?*
  • Do you authorize us to administer the medications listed above? If so, you will need to fill out Medication Administration form in the office.
  • Do you authorize your child in participating in Food Sensory & Exploratory Learning Activities?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Format: (000) 000-0000.

  • First Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Address - Same As Child*

  • If your address is different than the childs please fill out the info below. Otherwise move onto the next section.

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Second Parent/Guardian Information

  • Please indicate if the other parent/ guardian is a NO-PICK-UP, or if on specific pick-up schedule
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Address - Same As Childs
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • If your address is different than the childs please fill out the info below. Otherwise move onto the next section.

  • Emergency Contact List

    Other than Parent/ Guardian

  • Emergency Contact 1

    Other than Parent/ Guardian
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Emergency Contact 2

    Other than Parent/ Guardian
  • Format: (000) 000-0000.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Emergency Contact 3

    Other than Parent/ Guardian
  • Format: (000) 000-0000.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Emergency Contact 4

    Other than Parent/ Guardian
  • Format: (000) 000-0000.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • NO PICK-UP List

    Please skip this section if you do not have any people to put on this list.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Infant, Pre-School and After School Registration

    Our school is open Monday - Friday, 7:15 AM - 5:15 PM. The breakfast cut-off time for drop off is 8 AM, while the lunch cut-off time for drop off is 11 AM. Please indicate below your normal drop-off time and pick-up time based on your schedule, and if there are any days your child will not be attending.
  • Date You Wish to Start*
     - -

  • On a normal day, I will drop-off my child at   * in the morning. (Drop off from 7:15 AM - 8:30 AM)

  • On a normal day, I will pick-up my child at   *   in the afternoon. (Pick up from 3:00 PM - 5:15 PM)

  • Image field 127

  • All registrations are received and reviewed in a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.

    • Sections 7.1 and 7.2 of the Child Care Facility Handbook require a current physical examination (Form 3040) and immunization record (Form 680 or 681) within 30 days of enrollment.
    • Section 7.3 of the Child Care Facility Handbook requires that parents receive a copy of the Child Care Facility Brochure entitled “Know Your Child Care Facility” (CF/PI 175-24) [also available on-line at https://eds.myflfamilies.com/DCFFormsInternet/Search/OpenDCFForm.aspx?FormId=860], or
    • Section 8.3 of the Family Day Care Home/ Large Family Child Care Home Handbook requires that parent(s) receive a copy of the family day care home brochure entitled “Selecting A Family Day Care Home Provider” (CF/PI 175-28) [also available on-line at https://eds.myflfamilies.com/DCFFormsInternet/Search/OpenDCFForm.aspx?FormId=841].
    • Section 2.8 of the Child Care Facility Handbook requires that parents are notified in writing of the disciplinary and expulsion policies used by the child care facility, or
    • Section 2.3 of the Family Day Care Home/ Large Family Child Care Home Handbook requires that parents are notified in writing of the disciplinary and expulsion policies used by the family day care provider.

    Your signature below indicates that you have received the above items and that the information on this enrollment form is complete and accurate. I hereby grant permission for the staff of this facility to have access to my child’s records.

  • Should be Empty: