CHILD'S INFORMATION



    City

    State

    Zip Code
    PK1PK2PK3PK4Kindergarten
    Half DayFull DayExtended Hours
    School YearFall SemesterSpring SemesterLess than 6 months

    PARENT OR GUARDIAN’S INFORMATION


    Last Name

    First Name

    Phone

    Cell Phone

    Street Name and No.

    Apartment-Unit

    City

    State

    Zip Code

    Last name

    First name

    Phone

    Cell Phone

    Street Name and No.

    Apartment-Unit

    City

    State

    Zip Code

    EMERGENCY CONTACT


    Last Name

    First Name

    Relation

    Phone

    Cell Phone

    Last Name

    First Name

    Phone

    Cell Phone

    HOW DID YOUR LEARN ABOUT BABYSTARS?

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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.