Gifted Stars Student Enrollment Form

Gifted Stars Early Learning Academy

Preschool Application to Hold Child’s Spot
Your First & Last Name*
Your Child’s First & Last Name*
Child’s Age (As of September 15, 2025)*
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?(kindergarten)
Child’s Gender*

MaleFemale
Location*
Enrolling into preschool, private kindergarten, after-school or summer camp*
Preschool 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?*
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 even if your child stops attending? If so, please sign below.*

Clear
Is your child on the spectrum or have an IEP? We are here to help.
Non-Refundable Holding Fee $115*

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Gifted Stars Early Learning Academy