Bright Starts 2021-2022
Urbana Early Childhood: 2202 E Washington St. Urbana, IL 61802
6 p.m. to 7:30 p.m.

Iniciar sesión en Google para guardar lo que llevas hecho. Más información
Bright Starts is back in person!
Note: We have decided to cancel the January 13 session because of increasing COVID-19 cases. We hope to resume in February!

Bright Starts will move back into an in-person program at Urbana Early Childhood School. We will be following UECS's processes and protocols for COVID-19 precautions. Currently, masks will be required for everyone who is older than 2. All teachers and volunteers will be wearing masks as well.  

Because of continuing COVID-19 protocols, we will be sending families home with dinner rather than eating it at the school. We ask that families arrive at 6 p.m., and the classes for parents and students will run from 6:15 p.m. to 7:15 p.m. Free childcare is provided for siblings. We will then send dinner home with families from 7:15-7:30 p.m.
What Bright Starts session are you registering for? *
Obligatorio
Please tell us how many children total from your family will be participating. *
What is your preschooler's first and last name? *
What is your preschooler's date of birth? *
DD
/
MM
/
AAAA
Do you have more than one preschool-aged child attending Bright Starts? *
If yes, please add your second preschool-aged child's first & last name.
Please add your second preschool-aged child's date of birth.
DD
/
MM
/
AAAA
How many adults will be attending? *
What are the first and last names of ALL adults attending? *
Will any other children be attending? *
Obligatorio
How many additional children are attending with you? (NOT INCLUDING your preschool-aged child participating in Bright Starts.) If you do not have any additional children attending with you, please mark N/A. *
Obligatorio
Please include the age of Child 1 attending with you. Mark N/A if no additional children attending. (DO NOT INCLUDE age of Bright Starts participant) *
Please include the age of Child 2 attending with you. Mark N/A if no additional children attending. (DO NOT INCLUDE age of Bright Starts participant)
Please include the age of Child 3 attending with you. Mark N/A if no additional children attending. (DO NOT INCLUDE age of Bright Starts participant)
Please include the age of Child 4 attending with you. Mark N/A if no additional children attending. (DO NOT INCLUDE age of Bright Starts participant)
What is your full address? Please include city and zip code. If you do not want to provide this info, please write "prefer not to provide." *
What is your phone number? Please include area code. If you do not want to provide this info, please write "prefer not to provide." *
What is your email address? If you do not want to provide this info, please write "prefer not to provide." *
Please list any dietary restrictions you and your family have.
How did you hear about this program? *
Comments and/or questions
Enviar
Borrar formulario
Nunca envíes contraseñas a través de Formularios de Google.
Este formulario se creó en Google Apps @ Illinois. Denunciar abuso