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Registration Information

Please use the following form to begin the registration process online! It's fast, easy, and straight forward! You can also contact us if you would prefer to have us email you a Word version of the registration form that you can email back or drop off in person! We would always love to meet you!

Welcome!
Please note that all fields followed by an asterisk must be filled in.
Parents Information
First Name*
Last Name*
E-mail Address
Street Address*
City*
State/Prov*
Zip/Postal Code*
Country*
Home Phone*
Childrens Information
Childs Name*
Age*
Date of Birth*
Desired Start Date*
T-Shirt Size (choose one)
Choose A Program*
(select days that apply)*
Not Applicable
Monday
Tuesday
Wednesday
Thursday
Friday
Before and After School Programs*
(select days that apply)*
Not Applicable
Monday
Tuesday
Wednesday
Thursday
Friday
School Age Only:
Name of School
The registration fee is $65.00 for the first child or $100.00 per family. This fee is non-refundable. Tuition Payments can be made through automatic deduction from a bank account or through a credit card. Tuition must be paid in advance weekly, bi-monthly, or monthly. We thank you for choosing Bright Years. We can’t wait to get learning!
OFFICE USE ONLY: Registration Fee Paid?_____Date____________________ Amount____________T-shirt___________________ Classroom assigned_____________________________Check#________________________ Cash______________________________ Expiration date______________________Signature __________________________ Initials____________

Please enter the word that you see below.