Enrollment Application

Vibrant Scholars Academy · Youngsville / Lafayette, Louisiana

Child Information

Child's Full Legal Name *

Date of Birth *

Requested Classroom *

Requested Start Date *

Enrollment Type

Full-Time Part-Time (3 days/week)

Parent / Guardian Information

Full Name *

Relationship to Child

Email Address *

Phone Number *

A Little More About Your Family

How did you hear about VSA?

Anything else we should know? (allergies, previous childcare, questions, etc.)

Registration Fee & Agreement

A $175 non-refundable Registration Fee is required to hold your child's spot once your application is approved. After you submit this application, we'll review it and follow up by email — approved families will receive a secure link back to our site to pay the Registration Fee and complete the rest of the Enrollment Packet (health forms, authorizations, and tuition agreement).

I understand this application does not guarantee enrollment, that space is limited and subject to availability, and that a $175 non-refundable Registration Fee is due upon approval to hold my child's spot.

Questions? Email us at vibrantscholarsacademyllc@gmail.com