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
Your answer
Preferred name or Nickname
Your answer
Which class are you registering for? Tuition prices are remaining the same as 2019-2020. For registration you will pay only the registration fee of $100 and yearly tuition will be divided over NINE months for 2020-2021 (Sept-May)
Date of birth
MM
/
DD
/
YYYY
Please select one:
Complete Mailing Address - City, State, Zip
Your answer
Email Address (required for billing)
Your answer
Main Parent Contact Name
Your answer
Occupation
Your answer
Cell phone:
Your answer
2nd Parent Name
Your answer
Occupation
Your answer
Cell phone:
Your answer
Marital Status
Other Children in the family (Names and Ages)
Your answer
Name of your home church?
Your answer
Is your student baptized?
Name of Emergency Contact other than parent(s) (Name, relationship to student)
Your answer
Emergency Contact Phone
Your answer
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.
Your answer
Pediatrician/Doctor Name/Office Name
Your answer
Pediatrician Phone
Your answer
Dentist Name/Office Name
Your answer
Dentist Phone
Your answer
Health concerns we should know about:
Your answer
Allergies?
Your answer
Insurance Carrier and Policy Number
Your answer
How did you hear about our school?
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:
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.
Your answer
Thank you for submitting your Registration! Please note, as soon as you submit 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.
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