BLC 2026- 2027 Application Form
We’re excited to welcome your family to Bethel Learning Center! Please review the information below as you complete your child’s application.                                                                                                                                                   
1.Please fill out one form per child and indicate your class choice. Children must meet the age requirement for their class by September 1, 2025.                                                                                                                                                 
2. A application fee is required with your form: $100 for the first child and $55 for each additional child. 

*Payment options: Check (made payable to Bethel Learning Center), online at www.blcelmhurst.org (“Pay Your Tuition”), or Zelle (blcelmhurst@blcelmhurst.org).

* Please note: fees are non-refundable unless we are unable to offer your child a placement. 

3. For new families: After submitting your form, please call us at 630-279-4086 to schedule a family tour. Visiting our classrooms is an important step in completing your child’s registration and gives you and your child a chance to see our program in action                                                                                                                             
4. Once your form and fee are received, you’ll receive a confirmation email within 48 hours to confirm enrollment/ placement.
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Email *
Family Status *
Parent First Name (Primary) *
Parent Last Name (Primary) *
Parent Cell (Primary) *
Parent #1 email (primary) *
 Child's First and Last Name (one form per child) *
 Class Preference (1st Choice) *
Required
Class Preference (2nd Choice) *
Required
2's Class Preference (3rd Choice 2's classes only)
Clear selection
Monday Early Dropoff
Tuesday Early Dropoff
Wednesday Early Dropoff
Thursday Early Dropoff
Friday Early Dropoff
District 205 Services (students attending Madison for PM classes/ early childhood services)
Monday Munch Bunch (Formerly known as Xclass)
Tuesday Munch Bunch (Formerly known as Xclass)
Wednesday Munch Bunch (Formerly known as Xclass)
Thursday Munch Bunch (Formerly known as Xclass)
Friday Munch Bunch (Formerly known as Xclass)
Monday Full Day
Tuesday Full Day
Wednesday Full Day
Thursday Full Day
Friday Full Day
A copy of your responses will be emailed to the address you provided.
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