Pre register here

Thank you for your interest in our program. Please fill out the information below and we will contact you shortly to complete your registration.

Location
First name
Last name
Home phone
Work/cell phone
Email Address
Home Address
City
State
ZIP
NEW to Bright Loritos  Yes No
If new, how did you hear about us?:

REGISTER 1ST CHILD

Child's First Name:
Child's Last Name:
Child's Birthday:
Language:
Day of the week:
AM or PM
Interested in LORITOS WEEKLY, LORITOS PRESCHOOL, SUMMER CAMPS, LORITOS ADVANCED, Loritos Weekly Summer?:

REGISTER 2ND CHILD

Child's First Name:
Child's Last Name:
Child's Birthday:
Language:
Day of the week:
AM or PM
Interested in LORITOS WEEKLY, LORITOS PRESCHOOL, SUMMER CAMPS, LORITOS ADVANCED, Loritos Weekly Summer?: