Enrollment Inquiry Form

Please complete this inquiry form to begin the enrollment process. An NBCC Site Supervisor will contact you to schedule a tour and request additional information as needed. Please note: submitting this form is not an application and does not guarantee enrollment. It is the first step in expressing your interest and allows our team to follow up with next steps.

"*" indicates required fields

MM slash DD slash YYYY
Child's Name*
MM slash DD slash YYYY
Home Address*
Primary Parent/Guardian Name*
Home Address (if different than above)
Days Requested*
Are you interested in full day or part day?*
Are you looking for tuition assistance? (Available to income qualified families)*
Would you like a site tour?*
Preferred language?*

Please bring the following documents with you to our open enrollment events:

  • Current months’ consecutive income statements
  • Birth certificate for every minor in the household
  • Child’s immunization record
  • Proof of address – utility bill
A logo with a stylized yellow sun on the top left, thin black lines forming a mountain outline, and the letters "NBCC" below. Each letter is in a different color: red "N," green "B," blue "C," and another blue "C." The design reflects warmth and growth, embodying early care values.

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