Shira Superstars Semester TWO
Our second semester starts January 6th! Please complete the form below. One form for each child. Email any questions to shirasuperstars@gmail.com or text 516-456-8392. For inquiries about the rest of semester one, please email us.
Program Info:
Shira Superstars is a Sunday enrichment program that is skills-based with real instructors!
Boys: Kindergarten-Pre1a
Girls groups for: Kindergarten-Pre1a, 1st-2nd, 3rd-4th
[NURSERY CLASS for boys and girls! They enjoy a craft/project and gymnastics each week. They have their own dedicated Morah.]
YOU pick the Specialties (Hurry! Space in each class is limited!)
Lunch Included!
Session Dates/Prices:
Semester 2: 10 Sundays -- Jan 6, 13, Feb 3, 17, 24, March 3, 10, 17, 24, 31
[Semester 1: 8 Sundays-- Oct 7, 14, 28, Nov 4, 11, 18, 25, Dec 16]

Hours: 10-12 pm (2 classes and lunch)

EARLY BIRD PRICE (expires Dec. 1st):

Semester 1:
Semester 2: $400 for 10 Sundays
SHIRA/SHULAMITH/SIBLING DISCOUNT: Take off $25 for each child!

For more info, email shirasuperstars@gmail.com or text 516-456-8392

Child's Last Name *
Your answer
Child's First Name *
Your answer
Grade *
School your child attends:
Your answer
Semesters Registering For: *
Specialty Selection for SECOND SEMESTER:
Please select ONE specialty for Class One and ONE specialty for Class Two that you want to enroll your child in
3rd - 4th Grade: Class 1 (select one)
3rd - 4th Grade: Class 2 (select one)
1st-2nd Grade: Class 1 (select one)
1st-2nd Grade: Class 2 (select one)
K-P Girls: Class 1 (select one)
K-P Girls: Class 2 (select one)
K-P Boys: Class 1 (select one)
K-P Boys: Class 2 (select one)
Lunch Selection
Lunch alternates each week between pizza and bagels
What bagel option does your child prefer? *
Contact Information
Home Address: *
Your answer
Home Phone Number
Your answer
Mother's Cell Phone Number *
Your answer
Father's Cell Phone Number
Your answer
Mother's Email Address *
Your answer
Father's Email Address (Optional)
Your answer
Feedback: What class offering would you like to see next year for this age?
Your answer
How did you hear about Shira Superstars?
Your answer
Other Notes, Suggestions or Questions:
Your answer
CONDITIONS OF ENROLLMENT
I wish to enroll my child in the Shira Superstars Sunday program and I agree to abide by all

program rules as well as the below conditions.

Please Note:

Payment is required in full to secure your spot • No refunds will be given for missed classes

including unforeseen circumstances. • Parents will be responsible for any and all medical bills incurred.

CONDITIONS OF ENROLLMENT / HOLD HARMLESS AGREEMENT:

I have read the Conditions of Enrollment including the fees and

payments. I agree to abide by these policies. I will hold Shira

harmless in the event of injury or loss as a result of such activities.

MEDICAL AUTHORIZATION

I authorize any of the program directors and adult staff members to make medical

decisions on behalf of my child in case of emergency or if I cannot be reached.

Parent's Full Name *
Your answer
Submit Form and Pay Registration
Please hit Submit then scroll up to the top of the page to pay the full fees by credit card. If you prefer QuickPay/Zelle, please send it to shirasuperstars@gmail.com. Thanks
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