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Bethel Lutheran School is dedicated to providing high quality individualized instruction in a Christian environment and a culturally diverse setting for grades pre-kindergarten through eight.

Preschool

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Bethel Preschool Application 2007 - 2008

Complete this form and click SUBMIT. A $100.00 deposit* must be received in the school office before this registration is complete.  The deposit is non-refundable unless Bethel School refuses the application.  The deposit is applied to your registration fees.

Student

 First Name        Middle Name      Last Name

Birth date:   Age:   Sex:

Address:

Address:

City:     State:    Zip: 

Home phone:                    SSN: 

Church denomination:

Baptism date:

Father

First Name         MI  Last Name

Address:

Address:

City:     State:    Zip:

Home phone:     Work Phone: 

Pager/Cell:   Email:

Employer: 

Occupation:     

Mother

First Name         MI  Last Name

Address:

Address:

City:     State:    Zip: 

Home phone:     Work Phone: 

Pager/Cell:   Email:

Employer:

Occupation: 

If there has been a separation or divorce, with whom is the child living?

To whom should billing go? Select one:   

    If "Other" is to be billed:

First Name       MI     Last Name:

Address:

Address: 

City:     State:    Zip: 

Has your child ever attended another Preschool? 

If so, where? 

What school district do you live in?

What public school would your child attend in your district?

Names and ages of other children in the family:

Name:     Age: 

Name:     Age: 

Name:     Age: 

Name:     Age:

Name:     Age:

Please indicate times your child will be attending:

            Mon.         Tue.         Wed.         Thu.         Fri.

Please note your original scheduled days and times. If your child attends different days, there will be an additional charge.  If you need to modify your schedule, please notify Mrs. Kalin in writing.  If there is space available, your request may be granted. Your child may attend any field trips scheduled on a day he/she is normally not at school. Please let the teacher know of your wishes in advance.

* Please send checks payable to Bethel School to:

7001 Forsyth Blvd.

St. Louis, MO 63105

Tuition is not refundable due to absences.

 

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