Application

Initial inquiry GAK

Early Childhood & After School Program
Student’s Name*

First NameLast Name
Student's Birth Date

MonthDayYear
Date
What grade will {studentsName} be going into for next school year, or currently if this is a mid year registration.
Parents/Guardian name*

First NameLast Name
{parentsguardianName} Email*
example@example.com
Phone Number
Please enter a valid phone number.
How did you hear about us? If one of our current families recommended us to you, please include their name and the name of the children currently enrolled.
Location
Currently, only our Bellingham location is available for registration.

Gabriel's Art Kids - Bellingham

D Street Location (Preschool & Pre-K/Kindergarten)

Address: 2215 D St, Bellingham, WA 98225

Programs: Preschool, Pre-K/Kindergarten

Details: Specializes in early childhood education with a focus on creativity and foundational learning for preschool and Pre-K/Kindergarten students.

Dupont Street Location (Elementary After-School Program)

Address: 1405 Dupont St, Bellingham, WA 98225

Programs: After-School Program for Elementary students

Details: Dedicated to enriching after-school activities for elementary-aged students. Some activities for Kindergarten are held at the D Street location.
Choose a location*
What program would you like to enroll your child.
Check this box if you intend to use funding from the Washington State Department of Social and Health Services (DSHS) to cover the cost of this program. Please ensure you have the necessary approvals and documentation required by DSHS.

I intend to use DSHS funding.
Preferred Start Date

MonthDayYear
Date

TODDLER PROGRAM

FERNDALE LOCATION ONLY
Student name

First NameLast Name
Would you be interested in Morning or Full Day sessions?*
Morning Options:*
Full day Options:*
Please select your preferred schedule

Monday to ThursdayTuesday to Friday
Would you like to enroll in the Extended Day option? (3:00pm - 5:30pm)

YesNo

Comment/Questions
Should be Empty:

Initial inquiry GAK

Location

D Street Location (Preschool & Pre-K/Kindergarten)

Dupont Street Location (Elementary After-School Program)

TODDLER PROGRAM

Early Childhood Program