Shining Star Preschool Registration

Child's Full Name

Birth Date

Sex

Male Female

Father's (or Guardian's) Name

Address

Home/Work Phone

Cell Phone

This address will receive a confirmation email

Mother's (or guardian's) Name

Address

Home/Work Phone

Cell Phone

Has your child attended preschool before?

Yes No

If Yes, where?

Will your child also be attending another preschool while at Shining Star? If so, where?

Which class are you interested in for? Tuesday/Thursday AM Mon/Wed/Friday AM Mon/Wed/Friday PM

Allergies/Conditions that should be noted

Description

If you are interested in enrolling your child at Shining Star or wish to have a conversation with our preschool director please fill out this form and click submit. You will receive a call soon!

Shining Star Preschool Registration

Description

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