• Master Card (Child's Information Form - Registration) 2026-2027 School Year SERENDIPITY OASIS ACADEMY FOR RISING STARS EARLY LEARNING CENTER (SOARS)

    Master Card (Child's Information Form - Registration) 2026-2027 School Year SERENDIPITY OASIS ACADEMY FOR RISING STARS EARLY LEARNING CENTER (SOARS)

    $1515.A. 1,2,3

  • Additional documents for registration 

    Bring the following documentation to the center's office.

    • Birth Certificate
    • SNAP Card  (If applicable)
    • Medicaid Card (If applicable)
    • SSI (If applicable)
    • Current Immunization
    • Child and Adult Care Food Program (CACFP) Form
  • Check desired program for child enrolling.*
  • Form of Payment (How do you plan to pay for childcare?)

  • Child Information

  • Date of Birth OR
     - -
    2 digit month, 2 digit day, 4 digit year
  • Due Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • Current or Previous Early Learning Center.

  • For Before/After School/Holiday Children

    Current  School Enrollment.

  • Does the child you are enrolling have a sibling(s) currently attending SOARS or will enroll?*
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Contact 1

  •  -

  • Emergency Contact 2

  •  -

  • Emergency Contact 3

  •  -

  • Physician and Medical Information

  •  -
  • Format: (000) 000-0000.
  • Does the child have History/Difficulty/Concerns with the following? Please check all that apply:*
  • I authorize this facility (Serendipity Oasis Academy for Rising Stars) to care for my child during the time he/she is in the facility and to administer and/or obtain emergency medical treatment for my child if I cannot be reached.*
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • Child Release Authorization

  • My child has permission to be released to the following individuals: child care facilities, transportation services, and emergency contact persons, which are listed below.

    (Please notify these individuals that they may be asked to show proof of identity.)

  •  -
  •  -
  •  -
  •  -
  •  -

  • Child Wipe Usage Authorization

  • I authorize the center to use wipes, which I provide from home.*

  • Bottle Authorization

  • I authorize the center to allow my child to hold his/her bottle in his/her crib.*

  • Child Picture/Image Usage Authorization

  • I authorize the center to allow my child's picture to be used for the following: ONLY check what you agree to---*
  • Desired Start Date
     - -

  • Confidentiality Note

    All information obtained by any parent or employee as a part of his/her role in Serendipity Oasis Academy for Rising Stars Early Learning Center must be treated as confidential unless it is required by law, or it has been approved for public release. This includes information about customers (parents, guardians, children), and about other members of the early learning center obtained from other agencies.
  • Should be Empty: