Enroll your child | A & A Rising Stars

Program hours are 4:00–7:30 PM for ages 5–16. A staff member will contact you to confirm your child's spot, program location, and any fees.

Child information

Child's full name

Date of birth

Age

Grade

School

Parent or guardian

Parent / guardian name

Phone

Home address

Emergency contact

Emergency contact phone

Additional information

Authorized pickup persons Only the people you list here may pick up your child.

Allergies or dietary restrictions

Accommodations or support needs

Comments or questions

Consent

I give permission for my child to take part in A & A Rising Stars programs, including fitness and recreational activities. I have read and agree to the program policies and parent handbook. I authorize A & A Rising Stars to seek emergency medical care if I cannot be reached. I give permission for photos of my child to be used on the website and social media. Optional — leave unchecked to opt out.

Questions about enrollment? Call Angela Ray at 704-280-0058 or Akeem Coston at 839-839-3529.