Application for Enrollment at Bethlehem Lutheran Preschool 

Fill out the form below or if you would like a hard copy of the form email Kathy Glaser at preschool@blcdelmar.com or stop by the Church office (LOCATION).  

For your application to be processed

          - A $60.00 fee must be paid. Please make check payable to:  Bethlehem Lutheran Church

          - A copy of your Child's immunization records and Birth certificate must be turned in

  Those 3 items can be mailed or dropped off in person.   

 

We offer two Program options: 

THREE YEAR OLD PROGRAM
Age requirement:  3 years old by Dec. 1
3 year old class meets Tuesday and Thursday    
9:15 a.m.– 12:00 noon

FOUR YEAR OLD PROGRAM
Age requirement:  4 years of age by Dec. 1
4 year old class meets Monday, Wednesday, Friday
9:15 a.m.- 12:00 noon
 

Pick a program
Program Choice
Child's information
Child's Name *
Child's Name
Child's Address *
Child's Address
Birth date *
Birth date
Phone
Phone
Are any family BLC Members?
Mother Guardian 1 information
Name
Name
Address
Address
Home phone
Home phone
cell Phone
cell Phone
Work Phone
Work Phone
Father (Guardian 2) information
Name
Name
Address
Address
Home phone
Home phone
Cell Phone
Cell Phone
Work phone
Work phone