Children's Learning Center Application

Blue Room Preschool

Child's Full Name


Name of Person Filling Out Form

Are you on financial aid?

If yes, what kind?

Please select what applies to you:

May we send texts to this number?

Please check the session that you are enrolling your child for:

A non-refundable registration fee for the Blue Room Preschool is $55 and is required before your child’s services begin. This fee includes mandatory vision/hearing screening.

All fees and payments are to be paid in Registration (A-258), either in person or over the phone ((815) 455-8588). The Children's Learning Center can not accept payments.