BLC 2021-2022 Registration Form
1.Please complete one BLC Registration Form PER CHILD, indicating your class selection
PLEASE NOTE: Your child must meet the age requirement listed for each class by September 1, 2021.
No exceptions will be made.
2.Be sure to include your $75 registration fee for the first child and $50 registration fee for each additional child. Please make checks payable to Bethel Learning Center. You may also pay this fee online at
www.blcelmhurst.org
at the “Pay Your Tuition” link. Zelle payments are also accepted @
mschneider@blcelmhurst.org
. Registration is not complete unless the registration fee is submitted with your registration forms. The registration fee is non-refundable unless you do not get a placement at BLC.
3. NEW FAMILIES: Once you have submitted your registration forms, please call the BLC office at 630-279-4086 to schedule an observation. An observation tour of our school is required to complete your child's registration. Observing our classrooms is important to help you understand our program and make an informed decision as to what is best for your child and your family.
4.Once you have submitted this registration form (one per child), a confirmation e-mail and a registration packet will be sent to your primary email address within 48 hours.
* Required
Email address
*
Your email
Family Status
*
Current Family
Alumni Family
New Family
Parent #1 First Name
*
Your answer
Parent #1 Last name
*
Your answer
Parent #2 First Name
*
Your answer
Parent #2 Last Name
*
Your answer
Parent #1 Cell
*
Your answer
Parent #2 Cell (optional)
Your answer
Parent #1 email (primary)
*
Your answer
Parent #2 email
*
Your answer
Childs First and Last Name (one form per child)
*
Your answer
Class Preference (1st Choice)
*
Please indicate your first choice (one form per child)
Kindergarten Enhancement 12:15 p.m. - 2:45 p.m. (T/ W/ TH p.m.)
Kindergarten Enhancement 12:15 p.m. - 2:45 p.m. (T/ TH p.m.)
4-year-old 5 days 9:00 a.m-12:00 noon (M,T,W,Th,F)
4-year-old 3 days 9:00 a.m-12:00 noon (MWF)
4-year-old 2 days 9:00 a.m-12:00 noon (Tuesday/Thursday)
3-year-old 5 days 9:00 a.m-12:00 noon (M,T,W,Th,F)
3-year-old 3 days 9:00 a.m-12:00 noon (MWF)
3-year-old 3 days 9:00 a.m-12:00 noon (Tuesday/Thursday/Friday)
3-year-old 2 days 9:00 a.m-12:00 noon (Tuesday/Thursday)
2-year-old 1 day 9:00 a.m-12:00 noon (Monday) one day option only
2-year-old 1 day 9:00 a.m-12:00 noon (Tuesday) one day option only
2-year-old 1 day 9:00 a.m-12:00 noon (Wednesday) one day option only
2-year-old 1 day 9:00 a.m-12:00 noon (Thursday) one day option only
Required
Class Preference (2nd Choice)
*
Please indicate your 2nd choice (one form per child)
Kindergarten Enhancement 12:15 p.m. - 2:45 p.m. (T/ W/ TH p.m.)
Kindergarten Enhancement 12:15 p.m. - 2:45 p.m. (T/ TH p.m.)
4-year-old 5 days 9:00 a.m-12:00 noon (M,T,W,Th,F)
4-year-old 3 days 9:00 a.m-12:00 noon (MWF)
4-year-old 2 days 9:00 a.m-12:00 noon (Tuesday/Thursday)
3-year-old 5 days 9:00 a.m-12:00 noon (M,T,W,Th,F)
3-year-old 3 days 9:00 a.m-12:00 noon (MWF)
3-year-old 3 days 9:00 a.m-12:00 noon (Tuesday/Thursday/Friday)
3-year-old 2 days 9:00 a.m-12:00 noon (Tuesday/Thursday)
2-year-old 1 day 9:00 a.m-12:00 noon (Monday) one day option only
2-year-old 1 day 9:00 a.m-12:00 noon (Tuesday) one day option only
2-year-old 1 day 9:00 a.m-12:00 noon (Wednesday) one day option only
2-year-old 1 day 9:00 a.m-12:00 noon (Thursday) one day option only
Required
Class Preference (3rd Choice)
Please indicate your 3rd choice (one form per child)
4-year-old 5 days 9:00 a.m-12:00 noon (M,T,W,Th,F)
4-year-old 3 days 9:00 a.m-12:00 noon (MWF)
4-year-old 2 days 9:00 a.m-12:00 noon (Tuesday/Thursday)
3-year-old 5 days 9:00 a.m-12:00 noon (M,T,W,Th,F)
3-year-old 3 days 9:00 a.m-12:00 noon (MWF)
3-year-old 3 days 9:00 a.m-12:00 noon (Tuesday/Thursday/Friday)
3-year-old 2 days 9:00 a.m-12:00 noon (Tuesday/Thursday)
2-year-old 1 day 9:00 a.m-12:00 noon (Monday) one day option only
2-year-old 1 day 9:00 a.m-12:00 noon (Tuesday) one day option only
2-year-old 1 day 9:00 a.m-12:00 noon (Wednesday) one day option only
2-year-old 1 day 9:00 a.m-12:00 noon (Thursday) one day option only
Class Preference (4th Choice)
Please indicate your 3rd choice (one form per child)
3-year-old 5 days 9:00 a.m-12:00 noon (M,T,W,Th,F)
3-year-old 3 days 9:00 a.m-12:00 noon (MWF)
3-year-old 3 days 9:00 a.m-12:00 noon (Tuesday/Thursday/Friday)
3-year-old 2 days 9:00 a.m-12:00 noon (Tuesday/Thursday)
2-year-old 1 day 9:00 a.m-12:00 noon (Monday)
2-year-old 1 day 9:00 a.m-12:00 noon (Tuesday)
2-year-old 1 day 9:00 a.m-12:00 noon (Wednesday)
2-year-old 1 day 9:00 a.m-12:00 noon (Thursday)
Monday Early Dropoff
BLC-Early Drop off Monday (8:15)
Tuesday Early Dropoff
BLC-Early Drop off Tuesday (8:15)
Wednesday Early Dropoff
BLC-Early Drop off Wednesday (8:15)
Thursday Early Dropoff
BLC-Early Drop off Thursday (8:15)
Friday Early Dropoff
BLC-Early Drop off Friday (8:15)
District 205 Services
Munch Bunch Wednesday 12:00-1:00 pm (Offered on District 205 Late Start days only)
Madison Munch Bunch/Bus Transport (students attending PM Classes Madison Early Childhood Center)
Monday X- Class
Monday X-Class 12 p.m-1:50 p.m.
Tuesday X- Class
Tuesday X-Class 12 p.m-1:50 p.m.
Wednesday X- Class
Wednesday X-Class 12 p.m-1:50 p.m.
Thursday X- Class
Thursday X-Class 12 p.m-1:50 p.m.
Friday X- Class
Friday X-Class 12 p.m-1:50 p.m.
A copy of your responses will be emailed to the address you provided.
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