2026 Fall Laker Playgroup Registration

2026 Fall Laker Playgroup Registration
FALL SESSION 2026

Dates: September 16, 23, 30 | October 7, 14, 21, 28 | November 4 (2026)

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: $400 includes one child and a maximum of two adults.

Additional sibling(s): $285; 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
Would you like to add an additional child?
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
Would you like to add another parent/guardian?
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.
E-Signature: I understand that I am enrolling my child in Fall Laker Playgroup.
Date

MonthDayYear
Date

My Products

2026 Fall Laker Playgroup$400.00

September 16, 23, 30 | October 7, 14, 21, 28 | November 4 (Wednesdays from 10:30 a.m. - 12 p.m.)

Additional Sibling (must be age 18 months to 3 years old)$285.00

* Must be accompanied by an additional adult.

# of Additional Siblings

Enter coupon

Total $0.00

Payment Methods

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2026 Fall Laker Playgroup Registration

My Products

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