DIGITAL ENROLLMENT FORM | Northbrook Community Nursery School

CURRENT FAMILY ENROLLMENT: OPENS JAN 5, 2026

NEW FAMILY ENROLLMENT: OPENS JAN 12, 2026

Welcome to the digital enrollment form. Please note, upon submission of this form, your information will be sent to our director and relevant board representatives. If more information is required, we will reach out to you using the contact information you provided in the form. Thank you for choosing NCNS! IF YOU DO NOT SEE THE FORM BELOW, ENROLLMENT IS NOT YET OPEN. PLEASE CHECK BACK.

Child's Information

Child's Name (First & Last) - required

Child's Date of Birth - required

Gender - required

Address Information

Street Address - required

City, State - required

Zip Code - required

Parent/Guardian #1

Name - required

Cell Phone - required

Email Address - required

Employer - optional

Work Phone - optional

Parent/Guardian #2 - optional

Name

Cell Phone

Email Address

Employer

Work Phone

Class Desired

Please note the following age guidance for each class, and new hours and days for Dolphins and Turtles

2 Day for 2yo / Bunnies (Tues / Thurs 8:45 - 11:15 a.m.) – Must turn 3 between 3/1/26 – 8/31/26

3 Day for 2.5yo / Ducklings (Mon / Wed / Fri 8:45 - 11:15 a.m.) – Must turn 3 between 9/1/25 – 3/1/26

4 Day for 3yo / Turtles & Dolphins (Mon / Tues / Wed / Thurs 8:45 - 11:15 a.m.) – Must turn 3 by 9/1/25

5 Day for 4yo / Pre-K (Mon - Fri 12:30 - 3:00 p.m.) – Must turn 4 by 9/1/25

Please select your First and Second choices below. - required

First Choice Class

Second Choice Class

Additional Information

Please check all that apply:

Parent is a current/past board member or current teacher at NCNSThis child is currently enrolledThis child's sibling is currently enrolledThis child's sibling or parent previously attended the school
*Former board members must have served a full 3-year term.

Years on Board (if applicable)

Legacy Name/What years did they attend? (if legacy parent/sibling)

Referred to NCNS by:

Please list any siblings and birth dates who may attend NCNS in the future:

Agreement & Signature

By submitting this application, you acknowledge that you have read and agree to the NCNS Payment Schedule. A non-refundable $100.00 Registration Fee along with a deposit of 1/6 of the annual fee will be billed via Brightwheel upon receipt of this application.

Please sign below (Use mouse or finger)

Today's Date