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UMBA Bright Stars Facebook page — please follow and support us at facebook.com/BrightStarsASEP
REGISTER YOUR CHILD TODAY!

Step #1
Complete below, the following 3 Forms: (1) Registration Form, 
(2) Photography & Video Consent Form and (3) Medical Emergency Form.

Remember, your child's registration isn't finalized until we receive your
$25 Deposit Registration Fee. Finish registration by completing Step #2.

Step #2
To submit the fee, kindly use our >> ONLINE PAYMENTS FORM.

Please note that without both the completed forms and the registration fee, your child's registration will remain incomplete. Thank you! 
Bright Stars Summer Camp flyer in English, Enrolling Now! Grades K-5, June 22 to July 31, 2026

REGISTRATION FORM

STUDENT INFORMATION

Select what type of REGISTRATION:
2025/2026 Summer Camp Registration
2026/2027 Academic Year Registration
2026/2027 Winter Break Registration
2026/2027 Spring Break Registration
Enrollment Status
New / First Time Attending
Returning Scholar

PARENT INFORMATION

Your relationship to Scholar/Student
Mother
Grandmother
Aunt
Legal Guardian
Other
N/A
Your relationship to Scholar/Student
Father
Grandfather
Uncle
Legal Guardian
Other
N/A

Who is the Primary Contact?

Select the parent or guardian Bright Stars should contact for daily communications, program updates, and pick-up coordination.
Maternal Parent
Paternal Parent
Both Parents
Legal Guardian

Emergency Contact Information

STUDENT SIGN-OUT INFORMATION

Safety is a priority for "Bright Stars - Beyond the School Day;" therefore, no child enrolled in "Bright Stars" will be released from the program without a parent/guardian signature or that of one of the three individuals below.


(Note: The names below must be of someone 16 years or older.)


Only complete this section if someone other than a parent or legal guardian listed above is authorized to pick up your scholar. You may list up to three (3) authorized individuals.

Bright Stars Summer Camp flyer in Spanish, Enrolling Now! Grades K-5, June 22 to July 31, 2026
Registration Form

OTHER REQUIRED FORMS

Please complete for each child enrolled at Bright Stars, the
Photography & Video Consent & Release Form and
Medical Emergency Form.
These forms are required before your child's start date.

If your child(ren) will require medication during After School or Summer Camp hours, a Medication Consent Form must be completed. The form is available from the Site Coordinator.

Photography and Video Consent & Release Form
Icon representing Photography Consent and Release Form
Icon representing Video Consent and Release Form

Thanks for submitting!

Medical Emergency & Health Declaration Form

Please fill out the following form
in order to participate in Bright Stars.

Health History: Check all that apply. Describe if necessary.
Are you suffering from a medical condition, illness, or injury?
Allergies - Check all that apply.

Thanks for submitting!

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