Create Your Family Account

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Parent Info

Child Info

Review

Parent / Guardian Information

This will become your portal login.

First Name *

Last Name *

Email Address *

This will be your login email.

Phone Number *

Create Password *

Confirm Password *

Child Information

You may add multiple children after completing step one.

Child 1

First Name *

Last Name *

Date of Birth *

Month *

Day *

Year *

Program of Interest *

Allergies / Medical Notes

Review Your Information

Please confirm before submitting. You can go back to make changes.

Name

Phone

Terms & Agreements

Please review and confirm each item below before creating your account.

I agree to Bright 'Lites Academy's Terms and Conditions. I have read and agree to the Privacy Policy. I authorize Bright 'Lites Academy to contact me electronically regarding my account and enrollment.

✓

Account Created!

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