Name of Child
Childs birthdate and age at the start of session
Childs's Grade
Childs Gender
Parents phone number(s) to be reached during the day
Family Address
(optional)
Child's School
Teachers name and contact info (preferred method of contact - email or phone)
List all emergency contacts (full name and phone number)
List anyone authorized to pick up your child from Little Beans (they must have a photo ID)
Anything special we should know about your child? Please note any allergies, likes/dislikes or personality characteristics that could help us get to know your child better.
Registration Options - Choose sessions and age group
Options: 3 days per week (you pick days) or 5 days per week (Monday-Friday) - priced in 1 week sessions
March 1st-5th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- March 1st-5th
March 1st-5th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (March 1st-5th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
March 8th-12th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- March 8th-12th
March 8th-12th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (March 8th-12th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
March 15th-19th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- March 15th-19th
March 15th-19th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (March 15th-19th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
March 22nd-26th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- March 22nd-26th
March 22d-26th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (March 22nd-26th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
March 29th-April 2nd, 2021
Spring Break Camp will be taking place during this week. Register for a slot in Spring Break camp!
April 5th-9th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- April 5th-9th
April 5th-9th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (April 5th-9th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
April 12th-16th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- April 12th-16th
April 12th-16th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (April 12th-16th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
April 19th-23rd, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- April 19th-23rd
April 19th-23rd: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (April 19th-23rd)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
April 26th-30th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- April 26th-30th
April 26th-30th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (April 26th-30th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
May 3rd-7th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- May 3rd-7th
May 3rd-7th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (May 3rd-7th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
May 10th-14th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- May 10th-14th
May 10th-14th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (May 10th-14th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
May 17th-21st, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- May 17th-21st
May 17th-21st: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (May 17th-21st)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
May 24th-28th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- May 24th-28th
May 24th-28th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (May 24th-28th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
May 31st-June 4th, 2021
Number of kids you are registering who are K-5th grade (price reflected as $0 because its determined by number of days)- May 31st-June 4th
May 31st-June 4th: Select number of days you are registering (reflects price)
(optional)
-- Please select --
Full Day: 3 days per week - Mon, Wed, Fri (for 2 weeks)- All Day (8:30am-3:30pm)$150.00
Full Day: 5 days per week - Mon-Fri (for 2 weeks) - All Day (8:30am-3:30pm)$250.00
Single Day- Full day (24 hr advance registration)$55.00
Half Day Morning (8:30am-12:30pm): 3 days per week$96.00
Half Day Afternoon (12-3:30pm)- 3 days per week$84.00
Half Day Morning (8:30am-12:30pm) - 5 days per week$160.00
Half Day Afternoon (12-3:30pm)- 5 days per week$140.00
Spanish Immersion Add-On: Pick days here if you would like Spanish Immersion (May 31st-June 4th)
(optional)
-- Please select --
Monday$10.00
Wednesday$10.00
Friday$10.00
2 days (Mon/Wed)$20.00
2 days per week (Wed/Fri)$20.00
2 days per week (Mon/Fri)$20.00
3 days (Mon, Wed, Fri)$30.00
If you are registering for one day, please indicate date here (24 hr advance registration)
(optional)
Adult Co-Working Desk Add-on
Little Beans is offering co-working desks for adults to work. The desk will be in the cafe and the kids will not come to this space unless you request to see them. Fill out this link to reserve your space by date. No long term commitment. Just reserve by the day - https://occ.sn/KLhbSQpg
Policies and Disclaimers
Admission to the preschool prep program will be on a first come first serve basis. You will receive an email confirmation of your placement within a week of your registration. Fees: We require payment at the time of registration. If you withdraw before the class start date there is a $25 processing fee.
Medical Waiver
If your child requires any medicine on site (including an EpiPen or Benadryl) you must provide said product to Little Beans Café staff. I understand that participation in Virtual Learning and Extracurricular activities involves some inherent risks and danger of accidents resulting in physical injury. Knowing these risks, I hereby assume these risks on behalf of my minor child. In addition, I hereby authorize the staff of the Little Beans Café Virtual Learning and Little Beans Café to use their best judgment in any emergency situation and release Little Beans Café and Little Beans Café LLC from liability resulting from injury sustained, including death, as a result of participation in Virtual Learning and Extracurriculars. If a student or staff member contracts COVID-19 we will alert all families and close for cleaning and screening. If a student contracts COVID at Little Beans Cafe, Little Beans Cafe, LLC is not held liable.
Consent and Release
As the parent and/or guardian completing this form, I am authorized to execute this waiver of liability as to LITTLE BEANS CAFÉ on behalf of my minor child and myself. I agree that LITTLE BEANS CAFÉ shall not be liable or responsible for any injuries to the above-named child resulting from his or her participation in the LITTLE BEANS CAFÉ Camp program. On behalf of myself, my heirs, representatives, executors, administrators, and assigns I HEREBY DO RELEASE, INDEMNIFY, AND HOLD HARMLESS LITTLE BEANS CAFÉ LLC and LITTLE BEANS CAFÉ, its officers, agents, independent contractors, instructors, camp directors and employees from any cause of action, claims, or demands of any nature whatsoever, including but not limited to, a claim of negligence, which my minor child or I, my heirs, representatives, executors, administrators, and assigns may now have, or have in the future against LITTLE BEANS CAFÉ, on account of personal injury, property damage, death, or accident of any kind, arising out of or in any way related to my use of the LITTLE BEANS CAFÉ facility and equipment, including but not limited to the LITTLE BEANS CAFÉ play space, outdoor play areas, ice cream parlor, and café area, whether that use is supervised or unsupervised, however the injury or damage is caused, including, but not limited to the negligence of LITTLE BEANS CAFÉ, its officers, agents, independent contractors, instructors, camp directors, and employees. In addition, I authorize Little Beans staff members to assist in changing clothes and undergarments when soiled and to help dress in bathing suits when participating in water play. Little Beans staff members are also authorized to accompany my minor child to the bathroom and provide assistance as needed.