National Academy For Educators and Caregivers
Child Care Center Registration Application


Receive Quantity Discounts when you register with NAEC.

5 – 10 Items receive 5% off      10 – 20 Items receive 10% off

Please fill out the registration form below and submit your application. A representative of NAEC will
contact you and answer all your questions about your Center Member Discounts. Thank you.

Your Name:

Email Address: (must be valid email address with no spaces)
Center Name:
City:
Phone:
Other Contact:
License Capacity: Number of Classrooms: Infant Rooms: Toddlers:
Preschool Rooms: Other: Number of Staff: Hours of Operation: to
State License No.: