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STARBRIGHT PRESCHOOL

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

Wait List Application and Contract of Deposit Form

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

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 _______

More information: ________________________________________________________________________________________

• I understand that the wait list is unpredictable.  The wait could be one to two years.
• I am enclosing the $50.00 non-refundable wait list 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 I could be offered a start date that is different from my preferred date   Most openings occur during the summer or early fall.
• I understand that openings are offered as they become available and that the date is unpredictable.
• I understand that Starbright will only be able to hold an offered space for 48 hours.  If I do not confirm that I am accepting the offered space within 48 hours I will lose that offered space.
• I understand that if an opening is offered and refused, that I will be moved to the bottom of the list if I wish to continue on the wait 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 my 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). Starbright is a small school and each year only a relatively small number of spaces open up.

The parent(s) must sign this form.

Parent Signature _______________________________________ Parent Signature ___________________________________

Date _____________________                             Date _______________________

Office Use: Check # ______________ Received _______________  Amount ___________________