Registration for BSLC Early Learning Center
2020-2021 Registration Form for Preschool, PreK, and Kindergarten.
Please fill out a separate registration for each student.
Thank you for choosing our Early Learning Center (ELC).
Student’s Name
Preferred name or Nickname
Current Classes offered
Which class are you registering for? For registration, you pay the non-refundable registration fee of $100 and yearly tuition will be divided over NINE months for 2020-2021 (Sept-May). You may also Prepay for the year.

If a class is full, it will say Waitlist. You do not need to pay the registration fee until you are notified that you will be in the class. Students will be admitted in the order they are received.

3 Year Old Class - Two-day Preschool - Teacher: Amy Klossner - T/TH 9-11:30 am - Yearly Tuition $1750 / or $194.44 monthly over 9 months

4 YearOold Class - Three day a Week - Teacher: Laurie Loring - M/W/F 9:00-11:30 am - Yearly Tuition $2250 / or $250 monthly over 9 months

4 Year Old Class - Four Day a Week - Afternoon - Teacher: Laurie Loring - M/T/W/TH 12:15-2:45pm - Yearly Tuition / $2500 or $277.78

4 Year Old Class - Five days a week - Teacher: Dena Ward - M-F 9:00-11:30 am - Yearly Tuition / $2750 or $305.56 monthly over 9 months

NEW!!! 4-5 Year Old - Afternoon Enrichment Class -Teacher: Dena Ward - M-TH- 12:15-2:45 pm

Kindergarten (5yr olds) Teacher: Rachel DeDemenico - M-F 9:00am-1:00pm - Yearly Tuition $4500 / or $500 monthly over 9 months

Date of birth
Please select one:
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Complete Mailing Address - City, State, Zip
Main Email Address (required for billing) -
Main Parent Contact Name
Cell phone:
2nd Parent Name
Cell phone:
Marital Status
Clear selection
Other Children in the family (Names and Ages)
Name of your home church?
Is your student baptized?
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Name of Emergency Contact other than parent(s) (Name, relationship to student)
Emergency Contact Phone
Emergency Contacts
Please list the names and phone numbers of those adults that are allowed to pick up your student. You will be assigned a code to sign your child out of school. Please share this code with caregivers who will be dropping off and picking up your student.
Contacts - Name/Phone
Health concerns we should know about:
Insurance Carrier and Policy Number
How did you hear about our school?
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Photo Permissions
Photographs are taken on a regular basis and are used for a variety of purposes. Mostly our photos are taken to be able to share with parents from their teachers and staff. In addition, we sometimes use photos are sometimes used on Facebook, our parent newsletter, promotional materials for BSLC ELC. We do NOT use a child's name. Please select one of the following options:
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Untitled Title
Beautiful Savior Lutheran ELC is operated solely on the basis of tuition: Therefore it is important to make tuition payments promptly and on schedule. Material fees are nonrefundable. Please make payment for September before the first day of school. By agreeing to this form, you agree to make your tuition payments for October - May by the 10th of each current month. Starting on the 11th of each month a late fee of $15 may be assessed. If there are extenuating circumstances, please contact the ELC director or bookkeeper. After a month, your child may lose his/her space in our program if fees have not been paid. In the event that the student needs to be withdrawn before the end of the school year, a two-week notice is required. There will be no refund for that current month. You may be in one lump sum by contacting our bookkeeper. By typing your name, you agree that you are the person responsible for this student's enrollment and tuition and that you agree to this financial agreement.
Yes I agree - Type Name *
Thank you for submitting your Registration! Please note, when we receive your registration, you will receive a link to pay the $100 registration fee to hold your student's spot. Please allow two business days for this to come through your email. Registrations are on a first-come, first-served basis and your spot will not be held without payment. Please email the school office and let us know that your registration has been filled out at We do not get an automatic response that you filled out this form. Blessings!!
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