Early Explorers Playschool

Early Explorers Playschool

Enrollment Application for 2026-2027 school year. Please complete the form to apply for your child's enrollment.
Class Details

Tuesdays & Thursdays | 9:00 a.m. - 12:00 p.m. | $195.00 per month | Activity Fee $100.00 per child
Child's Full Name:

First NameLast Name
Child's Preferred Name
Child's Gender
Child's Date of Birth:

MonthDayYear
Date
Age as of August 1, 2026
Address:

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian Full Name:

First NameLast Name
Relationship to Child
Parent/Guardian Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address:
Parent/Guardian Full Name:

First NameLast Name
Relationship to Child
Parent/Guardian Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address:
Please describe any custody and/or visitation agreements for your child:
Sibling(s) Name & Age:
Does your child have any allergies? If yes, please list any allergies, restrictions, and or concerns the school needs to be aware of.
Does your child have any Physical Conditions? If yes, please list any concerns or health problems the school needs to be aware of.
At this time, is your child:
At this time, does your child show dominance in their:
Please Choose the Appropriate Class Below
I acknowledge there is a $100 non-refundable registration/activity fee per child/class:
Social Media Release: I give permission for my child to be photographed or videotaped for promotional purposes for LUMC Early Explorers Playschool. These photographs and videos may be used on Facebook, Instagram, the church website, and in other church publications or promotional materials. When posting photographs, videos, or classroom projects, LUMC Early Explorers Playschool takes care not to identify students by name in a manner that would associate a student's name with their photograph or video.
By signing this form, you acknowledge and agree to the following:

• The registration/activity fee submitted with this application is non-refundable. A minimum of 30 days' written notice and payment of one month's tuition are required prior to withdrawing your child from the program.

• An email confirmation will be sent once your child's placement has been secured. Classes listed above will be offered only if sufficient enrollment is received. Class offerings will be finalized by July 1, and families will receive class placement information and supply lists by mid-July.

• Tuition at LUMC Early Explorers is divided into nine monthly installments and is based on participation in the program as a whole, not on the number of days attended. Therefore, no reductions or refunds will be given for holidays, absences, or school closures. A $50 late fee will be assessed for tuition payments received after the 15th of the month. Failure to make timely payments will result in forfeiture of your child's enrollment.

• LUMC Early Explorers reserves the right to deny admission or terminate enrollment if it is determined that the program cannot adequately meet the needs of a student.

• All students must provide current immunization records (Georgia Form 3231) prior to attendance. Families claiming a religious exemption must submit Georgia Form 2208 before the start of the school year.

• LUMC Early Explorers is exempt from licensing through Georgia's Bright from the Start Department of Early Care and Learning and has met all criteria and requirements necessary for this exemption.

• LUMC Early Explorers admits students of any race, color, national origin, and ethnic origin and provides equal access to all rights, privileges, programs, and activities generally made available to students at the playschool.
By signing this form, you acknowledge and agree to the following:

Authorization for Emergency Medical Care

In the event of an illness, injury, or accident requiring immediate medical attention, every reasonable effort will be made to contact a parent, guardian, or designated emergency contact.

If emergency medical treatment is necessary and a parent, guardian, or emergency contact cannot be reached promptly, I authorize the Director and staff of LUMC Early Explorers Playschool to obtain and/or arrange for emergency medical care for my child as deemed necessary.

I understand and agree that I am responsible for all costs associated with the medical treatment of my child.

I acknowledge that participation in school activities involves certain inherent risks. To the fullest extent permitted by law, I release and hold harmless LUMC Early Explorers Playschool, Lanier United Methodist Church, its directors, employees, volunteers, and representatives from liability for injuries or damages arising from my child’s participation in the program, except in cases of gross negligence or willful misconduct.

I further acknowledge that it is my responsibility to keep my child’s records current and accurate, including but not limited to telephone numbers, emergency contacts, health information, allergy information, and immunization records.
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Early Explorers Playschool

Class Details

By signing this form, you acknowledge and agree to the following:

By signing this form, you acknowledge and agree to the following: