ON-LINE REGISTRATION FORM
Complete Below
UMBA Bright Stars - Beyond the School Day Registration Form

 STUDENT INFORMATION 

 PARENT INFORMATION 

Your relationship to Scholar/Student
Your relationship to Scholar/Student

 Sign-Out Information 

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Safety is priority for the “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.)

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