Little Stars Application
Please nominate your preferred sessions in order of preference below. You may select any number of sessions however your child will be able to attend a maximum of two (2) sessions per week.
e.g. 1st Preference: Monday AM, 2nd Preference Wednesday PM
Child's First Name *
Child's Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Session Preference *
Required
Mother's First Name *
Mother's Last Name *
Mother's Contact Number *
Mother's Email Address *
Father's Full Name *
Father's Contact Number *
Father's Email Address *
Helper's Name *
Helper's Contact Number *
Name of an elder sibling that has attended or currently attending City Kids
Additional notes
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