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Request Information

Thank you for your interest in Bethany Christian School and Cub Club! We look forward to getting to know you. Please provide some basic information below so we know how to best support you and your child as you pursue enrollment with BCS and Cub Club.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • Last Name *
  • First Name *
  • Middle Name
  • Salutation *
  • Email Address *
  • Gender
    Male    Female
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone
    (Ex: 999-999-9999)
  • Home Phone *
    (Ex: 999-999-9999)
  • How Did You Hear About Bethany Christian School?
    Details:
  • How can we help you today?

    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender
    Male    Female
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •