Loading class list… Please register your child with this form, as well as select the classes you're interested in. Student Information Student First Name * Student Last Name * Preferred Name (optional) Date of Birth * Grade Level (2026–2027) * Parent/Guardian Information Parent/Guardian Name * Parent/Guardian Email * Parent/Guardian Phone Number * Additional Parent/Guardian (optional) Emergency Contact Name *Same as parent Emergency Contact Phone Number * Home Address Street Address * City * State * ZIP Code * Homeschool Information Is your student enrolled with a charter school? Yes No If yes, which charter school? Funding Method Charter School Funds Private Pay Family Information Does your student have any siblings currently attending StarBright Learning Center? Yes No If yes, please list their name(s). Previous Educational Programs Please list any homeschool programs, learning centers, co-ops, microschools, or enrichment programs your student has previously attended or is currently attending. Student Support Information Does your student have any allergies, medical conditions, medications, or classroom accommodations we should be aware of? Class Registration Which classes would you like to register for? Use the filters to find a class, then select it. You can add up to 12. + Add another class Agreements I understand that submitting this registration form does not guarantee enrollment. Enrollment is based on class availability and StarBright Learning Center's determination that the program is an appropriate fit for the student and classroom environment. I understand that additional enrollment forms, policies, and the Parent Handbook must be completed before my student's enrollment is finalized. I certify that the information provided is accurate to the best of my knowledge. Parent/Guardian Name * Electronic Signature (type name) * Date * Submit Registration Registration Submitted, your registration is complete! A representative from StarBright Learning Center will be reaching out to you shortly. In the meantime, if you have any questions, please email us at admin@startbrightlearningcenter.org.
