INQUIRE ABOUT OUR NEW KINDERGARTEN PROGRAM. LEARN MORE
Child's Name:
Date of birth (D.O.B.):
Parent's Name:
Cell Number:
Address:
Address
City
State
Zip Code
E-mail address:
Child will be enrolling in the following program:
PK1PK2PK3PK4Kindergarten
Child will be enrolling in the following schedule:
Half DayFull DayExtended Hours
Length of enrollment:
School YearFall SemesterSpring SemesterLess than 6 months
Mother's Name:
Last Name
First Name
Phone Numbers:
Phone
Cell Phone
Home Address:
Street Name and No.
Apartment-Unit
father's Name:
Last name
First name
Name:
Relation
Physicians Name:
Hospital Preference:
Parent Signature :
Date :
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This Registration is entered into between Baby Stars Inc., a Florida corporation (“us”, “our” or “we”) and the parent or legalguardian identified as “Parent” in the signature block of this Registration (the “Parent”) and the child identified in thisRegistration (the “Child” and together with the “Parent”, “you” or “your”). This Registration will become effective as of thedate we approve the Child for the program in which you enroll the Child (the “Program”). This Registration is subject to(i)the terms and conditions set forth in Exhibit A (the “Terms”) and (ii)any other documents you execute with us withrespect to the Program (the “Riders”), all of which are attached to this Registration and incorporated herein by thisreference. You hereby acknowledge, understand and voluntarily accept the Terms.
Child’s Name (Please Print):
Parent’s Name (Please Print):
Parent’s Signature:
