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Rayner Learning Center Application for Enrollment

  • Rayner offers a full day, 5 days a week, program between the hours of 7:30AM and 5:30PM.
  • You will be required to submit a $25.00 application fee (plus a $0.93 service fee) to submit this application. 
  • Please give us a call at 225-924-6772 with any questions!

Child's Information
or anticipated date of birth
If applicable, court documents of custody agreements must be provided to the Rayner Learning Center 

Sibling Information

Primary Address

Parent Information


UJCBR members receive a $100 monthly discount on tuition and enrollment priority

Emergency Contact Information
- and - 
Individuals Permitted to Pick-up Child
In the event of an emergency where neither parent is reachable, please contact: 

The following people, in addition to those indication above have permission to pick up my child. 
 
By typing your name, you understand and agree to the above statement. 

Medical Information and Permissions

Allergies

IMMUNIZATIONS: Please email or drop off  a copy of your child's immunizations records to complete the application. You can email records to DirectorRLC@ujcbr.org.

First Aid and Emergency Permissions
By typing your name, you are providing your electronic signature to the Rayner Learning Center

Allergy Notification Permission
By typing your name, you are providing your electronic signature to the Rayner Learning Center

Directory Permision
By typing your name, you are providing your electronic signature to the Rayner Learning Center

Permission to Photograph
On occasion, we may film or photograph events at the Rayner Center for social media or marketing materials. Likewise, the newspaper and television stations sometimes cover events taking place here. It is the Rayner Center’s policy not to release the names of children who are photographed to the media. However, we recognize that some parents do not wish for their children’s picture to appear in the newspaper or promotional materials for the school. Therefore, we are asking that all parents sign a release allowing their children to appear in such promotional pictures. If you would prefer that your child not appear is such film or photographs, please let us know. We will make every effort to ensure that your child does not appear in film or photographs of any events at the Rayner Center.
By typing your name, you are providing your electronic signature to the Rayner Learning Center

Water Activities Permission
Water activities include but are not limited to: Sprinkler Play and Indoor Water Activities such as Sensory Table. Water activities take place in the center or on the center grounds.
By typing your name, you are providing your electronic signature to the Rayner Learning Center

Diaper Cream Application Permission 
By typing your name, you are providing your electronic signature to the Rayner Learning Center

I am submitting an application fro enrollment. My application is not complete until the application fee has been paid and I have submitted immunization records to Latonia Douglas, Director.
Thu, February 29 2024 20 Adar I 5784