BUMP Registration | Burke UMC

BUMP Registration 2026-2027

Now enrolling students ages 2-5!

Student First Name

Student Last Name

Name You Would Like Your Child To Go By

Child's Gender: Required

Male

Female

Child's Birthday (MM/DD/YYYY)

Select an option

First Time with BUMP!

Returning BUMP Family

Member of BUMC

Chronic Physical Problems, Pertinent Developmental Information, or Special Accommodations Needed

Allergies or Intolerance to Food, Medication, etc.

Parent/Guardian Name #1

Email

Phone

Parent/Guardian Name #2

Email

Phone

Child's Primary Address

Home Phone Number

Primary Language Spoken at Home

To register your child(ren) for the 2026-2027 preschool year, please submit the form above and take note:

At the time of registration, a fee of $150 per student (non-church members) or $100 per student (church members) is due
I agree to submit the School Entrance Health Form with full up to date immunizations prior to my child's first day of school.

(new students)
A birth certificate or passport must be presented to the Preschool Director prior to the first day of school. (new students)
All children in 3s, 4s, and Transition class must be toilet trained. This means that each child must be able to use the toilet independently including wiping, management of clothes, and hand washing. Pull-ups cannot substitute complete toilet training. Parents of children who have repeated accidents may be called to come change their child. Children who continue to exhibit non-toilet trained behaviors may be requested to withdraw from the preschool.

Your initials below indicates your agreement to the above statements.

Thanks for submitting! We'll be in touch soon.