Enrollment Applications

These Enrollment Applications are provided as interactive PDF files.  Fill out the form and click “Submit”. Your Enrollment Application file will be sent directly to the Mid-Columbia Children’s Council personnel.  You will receive a letter from us informing you of receipt of application and the next steps to complete the application process.

Proceed to our new Online form – English

Proceed to our new Online form – Spanish


NOTE: Parent/Guardian must meet with MCCC’s staff for an interview, provide proof of family’s income, proof of applicant’s date of birth, and proof of family size BEFORE this application can be processed.

NOTA: El padre o tutor debe reunirse con el personal de MCCC para una entrevista, presentar prueba de los ingresos de la familia, prueba de la fecha nacimiento del aplicante, y la una prueba de tamaño de la familia; PARA que esta aplicación pueda procesarse.


Your application will be reviewed and eligibility verified by the enrollment specialist. For families who are eligible for the program, the child applicant will either be selected, if space is available, or placed on the waitlist. If your child is placed on the waitlist, you will receive a waitlist letter via US mail. If a space becomes available and your child is selected for the space, you will receive a phone call to schedule an enrollment appointment.


If your child is selected for a space, a staff member will call you to schedule an appointment and ask parent (s) to bring required enrollment forms: school physical, dental exam, and FCPS school registration forms. Enrollment is required and must be completed before your child can begin school.

Please remember:

  • Spaces are limited.
  • Acceptance into the program is based on need, not “first come, first served” with priority given to 4 and 5 year olds (not eligible for Kindergarten). Families are encouraged to apply as soon as possible, beginning February 1st of each year for the following school year starting in September.
  • A family service partner will be assigned to guide your family through the entire application process.
  • Only complete applications can be processed for possible consideration for a space