Starbright Preschool

3900 Valley View Rd. Austin TX 78704 (map)
Office: 512-441-5253 Fax: 512-443-4204
Please call or e-mail to come by for a visit.

STARBRIGHT PRESCHOOL

3900 Valley View Road Austin, Texas 78704 (512) 441-5253

Wait List Application and Contract of Deposit Form

Click here for a downloadable version of this form: MS Word Adobe pdf

I would like to place my child _______________________________________________________ on the wait list at Starbright.

I understand that the wait list is unpredictable and that the wait could be two or three years.

I am enclosing a $50.00 non-refundable fee to secure a place on the Starbright Wait List. (I understand that I will not be placed in line on the Wait List without both this form and the deposit.)
I have chosen a preferred start date for my child.
I understand that most openings occur during the summer or early fall.
I understand that Starbright will only be able to hold an offered space for 48 hours. If I do not confirm my intent to enroll my child with in 48 hours of the offered space I will lose that offered space. It will then be my responsibility to inform the school if I wish to placed back on the Waitlist.
I understand that if an opening is offered and refused, if I wish to continue on the wait list that I will be moved to the bottom of the list. It is my responsibility at that point to renew my intentions by phone at regular intervals.
I understand that there is no guarantee that an opening will be available on the preferred start date. Openings are filled as they become available. The school cannot hold an unpaid space.
I understand that applying for a part time opening does not guarantee the first choice of days and hours.
I understand and agree to Starbright’s Fees and Tuition.

Openings are offered as they become available (sometimes before the preferred start date) based on

The parent(s) must sign this form.

Parent Signature _______________________________________ Parent Signature ___________________________________

Date _____________________ Date _______________________

.
Child’s Name ____________________________________________________________ Date of Birth ___________________

Enrollment Starting Date Preferred ________________________

Parent/Guardian ___________________________________________________ Phone (home) _________________________

Phone (work) ________________________ Cell _______________________ Email __________________________

Address ___________________________________________________________________ Zip _________________

Parent/Guardian ___________________________________________________ Phone (home) _________________________

Phone (work) ________________________ Cell _______________________ Email ___________________________

Address ___________________________________________________________________ Zip _________________

Attendance Option Preferred: M W F _____ T Th_____ M - F _____ Any days that are available ______

It is possible to combine early & late pickup times. Attendance Hours: 7:00 – 2:30 ____ 7:00 – 6:00_____ 2:30 – 6:00 _______

Comments: ______________________________________________________________________________________________

Office Use: Check # ______________ Received _______________ Amount ___________________