Little Stars Enrollment Form "*" indicates required fields Full Name of Child:* Nickname: Gender Male Female Other Birthday* MM slash DD slash YYYY Age on Sept. 1, 2023: Previous School Attended by Child: How did you hear about Little Stars Preschool? Parent Name #1* First Last Relationship* Mom Dad Other Primary Phone*Untitled Cell Work Home Other PhoneUntitled Cell Work Home Do you accept text messages?* Yes No Email Address* Address* Street Address Address Line 2 City ZIP / Postal Code Employer: Parent Name #2 First Last Relationship Mom Dad Other Primary PhoneUntitled Cell Work Home Other PhoneUntitled Cell Work Home Do you accept text messages? Yes No Email Address Address Street Address Address Line 2 City ZIP / Postal Code Employer: Student lives with:* Both parents Mom Dad Other Include you in Little Stars family directory? Yes No Does your child have another caregiver (i.e. nanny, etc) and if so what is their name? Do you want Caregiver to receive information? Yes No Caregiver PhoneCaregiver Email Other children in familyName: Age: School attending: Name: Age: School attending: Name: Age: School attending: Enrollment Forms & Information Program Offerings 2023-24 School Calendar 2023-24 Little Stars Preschool Packet Parent Information Sheet Little Stars Enrollment Form All About Me! Contact & Consent Form
