Enrollment Request Form

Tuition Schedule

2020/21 Enrollment Request Form
(for currently enrolled families only)

* Indicates required field

Child's Name *

First

Last

DOB *

Parent Name *

Email *

Do you have more than one child attending BCC? Please list *

Keep my current schedule for the 2020/21 school year. *

yes no

I am requesting a schedule change (see below). *

yes no

Let us know your desired schedule of days and hours ( we will let you know asap if your request has been accepted) *

My child's last day is Tuesday, June 30th and will not be returning in the fall. *

yes

My child will attend through July 31st but will not be returning in the fall. *

yes

I have paid my 2020/21 annual registration fee of 100.00 per child and my facility improvements fee of $250 per family securing my reservation for the upcoming school year. *

yes no, but I will submit no later than April 15th N/A

Thank you! Your information helps us plan for the upcoming school year. We will do our best to accommodate your requests and will get back to you in a timely manner. If you are having trouble with these forms please call (538-2266) or email us at bccsantarosa@gmail.com.

Sincerely,
Deborah & Tiffany

Submit

Where Every Child is a Promise of Possibility & Potential

Bethlehem Children's Center

1300 St. Francis Rd.
Santa Rosa, CA 95409
Rincon Valley
707 538-2266
hours of operation during COVID- 19: CLOSED AT THIS TIME
8:30 AM - 4:15 PM
bccsantarosa@gmail.com