• Summer camp banner image with children

  • Summer Camp Registration

    Little Sharks Learning Center's Elementary Summer Program (Kindergarten - 5th grade, as of school year 2025-2026)

  • Summer Camp Week Selection

    Please note this is a first come, first serve basis. In order to secure your spot, you must complete ALL of the steps of enrollment. Step #1 Complete this Jotform, Step #2 Complete Paperwork, Step #3 Download and Sign-up for Brightwheel, Step #4 Pay Enrollment Fee, Sign Tuition Agreement Form and Pay for your summer camp weeks (if enrollment more than 4 weeks, you will only be required to pay for the first month to reserve your spot).
  • Please select all of the weeks you would like your child to attend in the summer*

  • Each week is $250, with a discount of $200 per week with 4 or more weeks selected.

    Our summer program is also covered by the Early Learning Coalition (ELC), which can cover the cost of tuition for families who qualify. Find out if you qualify by submitting your School Readiness Application today! Once you qualify, you can reserve your SR enrollment for summer!

  • Student Information

  • Gender*

  • Parent/Guardian #1 Information

  • Format: (000) 000-0000.
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  • Parent/Guardian #2 Information

  • Format: (000) 000-0000.
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  • Emergency Contact List

    Other than Parent/ Guardian

  • Emergency Contact #1

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • Emergency Contact #2

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • Emergency Contact #3

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • Emergency Contact #4

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • NO PICK-UP List

    Please skip this section, if you do not have any people to put on this list.
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  • Additional Student Info

  • 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?*
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  • Format: (000) 000-0000.

  • Informed Consent and Acknowledgement

    I hereby give my approval for my child’s participation in any and all activities prepared by Little Sharks Learning Center during the selected camp. In exchange for the acceptance of said child’s candidacy by Little Sharks Learning Center, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Little Sharks Learning Center 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 selected camp sessions.

    In case of injury to said child, I hereby waive all claims against  Little Sharks Learning Center including all teachers, staff and affiliates, all participants, and, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all summer camp activities.

    • 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 childcare provider keeps the facility’s parent handbook on-site. You are welcome to review it at any time, and by signing this, you acknowledge and give your consent to its contents.

    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.

  • 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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