Enrollment Submission Form

If new families are looking to enroll their children with our program, an enrollment form is available online. This submission of enrollment will quicken the process of enrollment for families and prevent families from the hardship of waiting to long without proper care for their children due to the COVID-19 crisis. / This form is also used to apply for our NM Early Prek and NM Prek Program. All PreK applications are on a lottery base. This form does not guarantee enrollment. 

This enrollment form is an emergency form that will only have selective information to ensure your child is appropriately enrolled with necessary information during this time. This registration form does not replace our current registration process but requests essential information for us to quickly begin enrollment without hindering families the proper care their children need. 

Please note that there will be essential additional information/forms that will need to be filled out by responsible guardians, but this process below is helpful in beginning enrollment as smoothly and effectively as possible. 

If you are enrolling more than 1 child, please refresh this page and refill out this form. 

Registration Form
Does your child have any allergies:
Does your child have any medical conditions?
This contact is:
This contact is:
This contact is:
Please mark the appropriate method regarding your registration.

Your Signature

Call Us: 505-344-1686   /   pmcca@comcast.net   /  7522 2nd St. NW Albuquerque, NM  87107

            505-323-9800   /   pmccb@comcast.net   /  9555 Osuna Rd. NE Albuquerque, NM 87111

            505-836-4151   /   pmccc@comcast.net   /  6711 Churchill Rd. SW Albuquerque, NM 87121

            505-836-9592   /   pmccd@comcast.net   /  4011 Ladera Dr. NW Albuquerque, NM 87120