Little Lambs Application

Please fill out the form only after completing the $25 paypal transaction for the application fee.


Additional paperwork will be required upon acceptance.

You may return Home upon success.

Registration Form 2018-2019
Family Information
Heath Information
A MEDICATION FORM MUST BE COMPLETED FOR EACH MEDICATION ADMINISTERED WHILE IN PROGRAM ATTENDANCE.

List 2 Emergency Contacts for Use ONLY if Parents Cannot Be Contacted.

Authorization for Emergencies
**In the event that I cannot be reached, I hereby give my permission for a Day Care/Preschool representative to make whatever emergency arrangements are necessary. I will assume financial responsibility for all charges to the above. I understand in the event of an extreme emergency, the closest doctor or medical facility will be utilized.
By Submitting this form you are using a digital signature stating you've read the terms and have paid your application fee via paypal.