Children's Learning Center Application

Blue Room Preschool

Child's Full Name




Gender

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.