Enrollment application form

Contact the Early Learning and Development Center

Apply today

Please note that we only offer full-time programming (5 days a week) and that children ages three to five must be toilet-trained prior to their start date, unless they have a medical need or an IEP.

*We are now accepting enrollment applications for two-year-olds starting in the fall of 2024.

Apply to enroll your child in an ELDC program. Those accepted for enrollment will receive an email and phone call. We will also provide a tour of the center and a link to enrollment information upon acceptance.

Name * Required
First Last
Email
Phone
Child's name * Required
First
Child's date of birth * Required

Please only fill out the form for children who are age three or 90 days before their third birthday.
Request start date at ELDC
MM slash DD slash YYYY
Please tell us about yourself (check all that apply):
I am an NAU student:
- Yes
- No
- Full-time student
- Part-time student
NAU ID

NAU ID
I am an employee at NAU:
I am an employee at NAU:
- Yes
- No
NAU ID

NAU ID
Is there anything you would like us to know about your child (e.g., special health needs, IEP, learning or behavior considerations, etc.)? Answering this question does not influence enrollment decisions.
Is there anything you would like us to know about your child (e.g., special health needs, IEP, learning or behavior considerations, etc.)? Answering this question does not influence enrollment decisions.
Email
This field is for validation purposes and should be left unchanged.

Contact the Early Learning and Development Center

Apply today

Enrollment application form

Early Learning and Development Center

Location

Email

Phone