Registration 2026-2027
August 2026-May 2027
Student Name
*
Student Goes By
*
What name should we practice recognizing and writing?
Age by Aug. 1, 2026
*
Date of Birth
*
Address
*
City
*
State
*
Zip Code
*
Elementary School They Will Be Attending
*
Email Address
*
Mother’s Name
*
Phone Number
*
Occupation/Employer
*
'
Phone Number
*
Father’s Name
*
Phone Number
*
Occupation/Employer
*
Phone Number
*
Student’s Siblings (Name and Ages)
*
Allergies
*
Does your child have any speech, hearing, or other physical issues of which we should know?
*
If yes, please explain
Class Selection
*
Please Select
Pre-K AM Mon-Fri 9-11:30 ($230/mo) Year prior to Kindergarten
Pre-K PM Mon-Wed 1-3:30 ($140/mo) Year prior to Kindergarten
AM Class Mon-Wed 9-11:30 ($140/mo) 3-5 Years Old
PM Class Mon-Wed 1-3:30pm ($140/mo) 3-5 Years Old
2's Playgroup Th-Fri 9-11am ($115/mo) 2 Years Old
If Class Selection is unavailable I would like to:
*
Be on the wait list for class selected AND enrolled in age appropriate class
Be on the waitlist for selected class ONLY
Enroll in an age appropriate class that has openings
Talk to a Staff Member about Options
If age appropriate classes are full, add me to the waitlist for first available.
Note: A registration form and non-refundable fee must be completed before your student will be added to a class roster or waiting list. Returning Family: $30 New Family: $40 (payable by cash, check PayPal @adventurewiththestar or Venmo @Angela-King-293)
I understand a registration form and paid registration fee must be completed to be added to class roster or wait list spot.
Submit
Should be Empty: