2023-2024 REGISTRATION IS OPEN

To register, please print off and fill out or pick up at the church office the corresponding registration packet below and either drop it by or mail it to Bellingham Covenant Church.

3 Year Old Registration Packet

4 Year Old Registration Packet

Feel free to call or email our director Jill Takemura to schedule a visit in the classroom or if you have any questions or concerns.

Cell: (360) 927-0689

Email: jill@bellinghamcov.org

Child's Information

Child's Name

First Name

Last Name

Child's Birthday

MM

DD

YYYY

Gender

Desired Class

3 Year Old Class - Mornings Tuesday & Thursday

4 Year Old Class - Mornings Monday, Wednesday, & Friday

Desired Starting Date

MM

DD

YYYY

Special needs or requests (i.e. dietary requirements, scheduling needs, etc.)

Any other additional information you would like us to know

Parent/Guardian Information

Parent/Guardian #1

First Name

Last Name

Email

Phone 1

(###)

###

####

Parent/Guardian #2

First Name

Last Name

Email 1

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country