• 2026-2027 Registration Form

    2026-2027 Registration Form

    Miami Lakes United Methodist Preschool (MLUMP)
  • Date of Birth*
     - -
  • Race / Ethnicity - (select all that apply)*
  • Indicate Class Selection*
  • Indicate how many days each week your child will attend*
  • Enrollment Hours - 2-yr. & 3-yr. old classes - Select one DROP-OFF time*
  • Enrollment Hours - 2-yr. & 3-yr. old classes - Select one PICK-UP time
  • Enrollment Hours - VPK Class - Select one DROP-OFF time*
  • VPK Class - Select one PICK-UP time

  • SCHOOL UNIFORM

    (Indicate quantity under color & size)

  • FAMILY INFORMATION:

    At least one primary email address is required. A contact phone number is required for each parent/guardian listed. If a parent/guardian is not legally authorized to pick up the child, official legal documentation must be submitted to the School Director before the first day of school.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Parent's Marital Status:*
  • Custody of Child:*

  • Other Email Recipients (Optional):
    Provide the name and email of someone else who should receive general school communications (e.g., grandparents responsible for drop-off/pick-up). This contact will receive only non-personal, non-financial information such as event updates and reminders.

  • EMERGENCY CONTACTS
    Your child will be released only to the custodial parent(s) or legal guardian(s) and the persons listed below. The following people will also be contacted and are authorized to remove the child from the facility in case of illness, accident, or emergency if for some reason the custodial parent(s) or legal guardian(s) cannot be reached.

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • I grant permission for the individuals listed above and any names added by me to this list to remove my child from the school facility for authorized reasons given by me or in case of illness, accident, or emergency if for some reason the custodial parent or legal guardian cannot be reached.
  • Date*
     - -

  • MEDICAL INFORMATION

  • Format: (000) 000-0000.
  • In case of a medical emergency, I hereby grant permission for the Miami Lakes United Methodist Church and Preschool to contact the child's physician or other emergency and non-emergency medical personnel to assess the condition of my child and render medical assistance and treatment as determined necessary by such medical personnel and health care providers. I understand that if medical personnel are contacted, then I will also be contacted. If I am unable to be reached, then other authorized emergency contact individuals listed in this registration form will be contacted. It is understood that this authorization is given in advance of any specific diagnosis, or treatment being rendered. I assume all financial responsibility for all diagnosis, treatment, ambulance transportation, and care provided by the physician, surgeon, dentist, hospital, and or ambulance service.
  • Date*
     - -

  • PERSONAL INFORMATION TO HELP US KNOW MORE ABOUT YOU AND YOUR CHILD

  • Miami Lakes United Methodist Preschool Registration ~ 2026-2027~ Financial/School Policy Agreement Form

    Please read & check each item below, and sign at the bottom of this form.
  • *

  • Consent and Release Form

    I, the undersigned, as parent and/or legal guardian of (enter child’s name) * (hereinafter referred to as “my child”), hereby consent to my child participating in any and all activities at Miami Lakes United Methodist Preschool (the “Preschool”) and assume all risks on behalf of my child associated with said activities. I hereby certify that my child is mentally, emotionally, and physically able and capable of participating in all Preschool activities.

     

    I hereby agree that the Preschool shall be completely absolved, released, indemnified, and held harmless from any and all liability arising from or associated with any injury, death, obligation, liability, indebtedness, or other matter(s) of whatsoever kind concerning or otherwise involving my child’s participation in Preschool activities and/or any medical services arising therefrom. I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the State of Florida, and that if any portion hereof is held to be invalid, it is agreed that the balance and all remaining terms shall, notwithstanding, continue to be in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not merely a recital.

     

    I HAVE CAREFULLY READ THE FOREGOING RELEASE, WAIVER, AND INDEMNITY, KNOW THE CONTENTS THEREOF, AND I HEREBY SIGN THIS RELEASE, WAIVER, AND INDEMNITY OF MY VOLITION. I have been given an opportunity to discuss and review this document with an attorney of my choice, fully understand the contents contained herein, and, thus, this document shall not be construed against the drafter hereof, or any parties hereto. This is a legally binding agreement which I have read and understand.

  • Florida Department of Children and Families requires the following: (Please read and check each item below.)*
  • Date*
     - -
  • Should be Empty: