SNL Summer Daycare Program 2026
Student Registration Form
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Email *
Child's First Name *
Child's Last Name *
Grade Exiting *
Child's Birthdate *
MM
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DD
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YYYY
Age *
Parent is School Board of Highlands County Employee? *
If you answered yes to the question above, please list the location/department where the parent is employed.
Child lives with: *
Parent Email Address *
Mother's Name: *
Mother's Address: *
Mother's Cell Number: *
Mother's Work Number: *
Mother's Employer: *
Father's Name: *
Father's Address: *
Father's Cell Number: *
Father's Work Number: *
Father's Employer: *
Other Emergency & Authorized Pick-Up Contacts: Include Name, Phone Number, Relationship
CONTACT 1
 *
Other Emergency & Authorized Pick-Up Contacts: Include Name, Phone Number, Relationship
CONTACT 2
Other Emergency & Authorized Pick-Up Contacts: Include Name, Phone Number, Relationship
CONTACT 3
Please list any medical concerns or dietary restrictions for your child: *
Pediatrician's Name & Phone Number: *
I understand my child(ren) may be photographed during summer daycare activities: *
Please select the week(s) that you will require childcare.  Note: You will be charged for the number of weeks that you request even if your plans change and you cancel childcare services for the week. I understand that there are things beyond your control and sometimes vacation weeks must change. Please submit the change in writing at least two weeks prior to change and as long as the number of weeks remain the same, charges can be allocated appropriately. Thank you for your understanding as this helps with scheduling enough staff to cover classes. *
Required
A registration fee of $25.00 per child is required. Summer Registration is to be paid in CASH and includes a Summer Daycare T-Shirt. Please select a size below for your student. *
SIGNATURE:                                                                                                                                     My electronic signature below indicates that the above information is correct. It also indicates that I have read the Sun 'n Lake Elementary After School Care Program Contract.  Please follow the link to access. SNL Summer Daycare 2026 Contract

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