Brilliant Star Application for Admission

Brilliant Star Application for Admission

School Year 2025 - 2026
Child's Name

First NameMiddle NameLast Name
Age
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Number
Parent 1:
Occupation/Company
Cell Number
Work Number
Email
Parent 2:
Occupation/Company
Cell Number
Work Number
Email
Program
Select one
Length of day *(for Toddler and Primary)
What are your child's interests?
Why are you considering enrolling your child at Brilliant Star?
How did you hear about our school?
Name and age of siblings
What languages are spoken at home?
What date would you like your child to start?
Does your child have any significant medical history?
Does your child have an educational or psychological diagnosis?
Does your child have previous school experience
Name of school
Length of attendance
Address and phone number
Any Educational Records (if applicable)

Cancelof
Signature

Clear
DateTime
Thank you for your interest in Brilliant Star!

An application fee of $50.00 can be paid at the main office. Please call 670-323-3827 or email principal@brilliantstar.org for any inquiries.
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Thank you for your interest in Brilliant Star!