Waiting List Application

Submit this form to be placed on our waiting list
PLEASE NOTE: THIS FORM IS NOT CAPTCHA/SSL SECURE BUT USES WEEBLY.COM'S BASIC SECURITY FUNCTIONS

Priority registration is given to children of Bethlehem Children's Center/Bethlehem Lutheran Church staff and administration, siblings of children already enrolled and Bethlehem Lutheran Church members. Submittal of this application will place your child on our waiting list. You will be notified if an opening becomes available. Please note that submittal of this application does not assure your child's enrollment. It is possible for someone who applied after you did to be offered a spot before you if we find it necessary to achieve a balance between boys and girls, older and younger children, scheduling or to maintain diversity in our classrooms. Waiting list FAQ

* Indicates required field

Date *

Name *

First

Last

Email *

Phone Number *

Child's Name *

DOB or Due Date *

Sibling/s Currently Enrolled? *

Do you have another child on our wait list? *

Gender *

female male TBA

Preferred Days *

Preferred Hours *

Preferred Start Date *

Are you alumni of BCC? *

yes no

Are you a member of Bethlehem Lutheran Church? *

yes no

Comment *

Submit

waiting list procedure

waiting list faq

keep me on the waiting list

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