• FAMILY REGISTRATION FORM

    Starlets Preschool Class (must be 3 by August 1) Stars Pre-Kindergarten Class (must be 4 by August 1) Stars Transitional Kindergarten Class (must be 5 by August 1)

  • Parent/Guardian Information

  • Mother/Guardian

  • Format: (000) 000-0000.

  • Father/Guardian

  • Format: (000) 000-0000.

  • Child Information

  • Gender:
  • Format: (000) 000-0000.
  • Tuition: please select the class that you wish to register for. *if paying monthly, payments run on a 10 month payment schedule beginning in August. If you register after August your monthly payment may be slightly higher than what is listed below.*

  • Emergency Contacts and Authorized Pickup Persons

    please list at least one emergency contact person, OTHER THAN MOM OR DAD and please list all persons that you authorize to pick up your child from school, OTHER THAN MOM OR DAD.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • I hereby grant permission for the above person(s) listed to pick up my child in the case of an emergency when I am not available or cannot be reached.*

  • Tuition / Payment Information:

  • I understand that tuition is due on the first of every month and that a $25.00 late fee will be charged for payments made after the 5th of the month.*

  • Permission to Participate:

  • I hereby grant permission for my child to use all of the play equipment located on the school grounds as well as participate in all of the daily activities, including nature hikes and walks around the building's perimeter, under the supervision of the preschool teacher(s).*
  • I understand that in the case of an accident in which my child requires medical attention Danette Weber and Rising Stars Preschool will not be held liable for any or all medical expenses incurred to the family as a result of the accident. I authorize Danette Weber and/or other medical personnel to take whatever steps necessary to obtain emergency care if warranted.*

  • Permission to Photograph:

  • I hereby grant Rising Stars Preschool permission to photograph my child, in still photos and running videos, to be displayed on our Rising Stars Preschool Facebook and Instagram accounts for marketing and informative purposes only.*

  • Additional Comments & Information:

  • Registration Fee/Security Deposit:

  • A NON-REFUNDABLE fee of $30.00 is due at the time of registration in order to secure a spot in one of our classes at Rising Stars Preschool and may be paid securely through the Square link below.

  • Registration Fee/Security Deposit*

    prevnext( X )
    USD

    Payment Methods

    creditcard
    After submitting the form, you will be redirected to Cash App Pay to complete the payment.

  • Signature:

  • I have read and understand what is required of me and my child in regards to enrollment at Rising Stars Preschool. I have provided all of the information on this form to the best of my knowledge. I understand that it is my responsibility to inform Rising Stars Preschool in writing of any changes made in the future.

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