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.


Email address *
Family Status *
Parent #1 First Name *
Parent #1 Last name *
Parent #2 First Name *
Parent #2 Last Name *
Parent #1 Cell *
Parent #2 Cell (optional)
Parent #1 email (primary) *
Parent #2 email *
Childs First and Last Name (one form per child) *
Class Preference (1st Choice) *
Please indicate your first choice (one form per child)
Required
Class Preference (2nd Choice) *
Please indicate your 2nd choice (one form per child)
Required
Class Preference (3rd Choice)
Please indicate your 3rd choice (one form per child)
Class Preference (4th Choice)
Please indicate your 3rd choice (one form per child)
Monday Early Dropoff
Tuesday Early Dropoff
Wednesday Early Dropoff
Thursday Early Dropoff
Friday Early Dropoff
District 205 Services
Monday X- Class
Tuesday X- Class
Wednesday X- Class
Thursday X- Class
Friday X- Class
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy