Gifted Stars Student Enrollment Form

Gifted Stars Early Learning Academy & Gifted Stars Christian Academy School

Application to Hold Child’s Spot
Parent 1 First & Last Name*
Your Child’s First & Last Name*
Parent 2 First & Last Name*

First NameLast Name
Child’s Age (As of June 1, 2026)*
Child’s Birthdate*
Parent’s Work Occupation *
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Allergies (if any)*
Parents Phone Number*
Will your child need our breakfast, lunch & snack?*

No (We will pack & bring food)Yes (We would like the school to provide all catered meals $20 weekly)
Please provide your child’s shirt size*
Are you okay with your child wearing our school uniform and shirts?(Durham Location Private School)
Child’s Gender*

MaleFemaleRather not say
Location*
Enrolling into preschool, private kindergarten, private elementary school, after-school, homeschool collective, In-Home daycare, tutoring or summer camp*
School Hours *
Please note that all spots are very limited and only available on a first come first serve basis.
Please indicate the specific hours for school*
(Example: 9-1pm, 8:45-2:30, 2:30-5:00, 7:30-5:00, 2,3, or 5 days weekly etc)
Anticipated Start Date*
How did you find us?*
Will your tuition be made weekly, bi-weekly, monthly or annual?*
How will you pay for tuition?*
Do you understand that our K-2nd grade school is a Christian based NC private school? And our half day Preschools are not religious?*
Is your child allowed to participate in our field trips? (Museum of Life & Science, Nearby Parks, Farm, Pullen Park, Big Bear Bounce) Field trip fees separate*

YesNo
Do you understand that we are a SCHOOL. We are not (“temporary/drop in care”) and require a 30 days written notice with payment to withdraw from school during the summer months of June & July. During the academic school year of August to May we require tuition payment for all school year months (10 months) even if your child stops attending? If so, please sign below.*
Is your child on the spectrum or have an IEP? We are here to help.
Non-Refundable Holding Fee $75*

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Gifted Stars Early Learning Academy & Gifted Stars Christian Academy School