BRIGHT STARS FORMS

REGISTRATION PROCESS FORMS
Download and Print

The following 4 Forms are required in order for your child to successfully complete Bright Stars After School and Summer Enrichment Camp Registration Process.

 1.  Registration Form:  A Registration Form must be completed for each child enrolled.

 

 2.  Pickup Authorization Form - Transportation

 

 3.  Medical Form

 4.  Photo Release Form

 5.  Parent-Teacher Communication Agreement

Downloaded Version: Please hand print legibly all information and submitted to Pearlie Cureton-Thomas, Director. 

On-line Registration Form:  Complete the On-line Registration Form for each child you are registering with Bright Stars.

This form notifies your child's school that Bright Stars has permission from you, the Parent, to provide transportation and pick up at school dismissal time.  The Pickup Authorization Form must be given to your child's school and noted in his/her file.  Return a copy to Pearlie Cureton-Thomas, Director.  (This form is only needed during the academic school year.)

A Photo Release Form is required for each child enrolled.  Please print legibly and return to Pearlie Cureton-Thomas, Director.  

A Medical Form is required for each child enrolled.  Please print legibly and return to Pearlie Cureton-Thomas, Director.  

The parent of the Bright Stars student is giving permission to the teacher, to share particular information with Bright Stars.  Please print legibly and return to Pearlie Cureton-Thomas, Director.  

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

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.)

 

© 2017 by UMBA Bright Stars, Inc. After School Program

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