MDO Registration 2019-20

If you have any questions, please contact the church office.
All classes are currently full for the Spring 2019 semester.  You are welcome to complete the application and be placed on our waiting list.  If a spot becomes available, you will be notified by our Director, Carol Mann.

Thank you for your interest in our program.
FTBC Mother's Day Out Program is on Mondays and Thursdays from 9:00 a.m. - 2:00 p.m.
 
Child's Information

 
 
 
 
Please select one option.
 
 
 
 
 
Parent / Guardian Information

 
 
 
 
 
 
 
 
Emergency Contact

Someone we may call in an emergency in the event a parent/guardian cannot be reached. This person would assume responsibility for the child until a parent/guardian was available.
 
 
 
My child may be picked up by the following people

 
 
 
 
 
 
Other Helpful Information

 
 
 
 
 
Please select one option.
Please be prepared to provide a copy of your child's current immunization record upon acceptance to our MDO program.
 
 
Siblings

 
 
 
 
 
 
Pets

 
 
 
 
About Your Child

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Media Permission

Please select one option.
 
Acknowledgement

Please select all that apply.
Please select all that apply.
Please select all that apply.
Payment

Non-refundable $90 Registration fee due for each child you are applying to enroll.
Due to the high volume of applications, please DO NOT PAY YOUR REGISTRATION FEE until you have been notified by the MDO Director, Carol Mann.

Children will be placed in a class as space is available on a first come, first served basis.

Notifications of placement will begin mid-March.
$0
 
 
 
 
 
 
 
 

Description

If you have any questions, please contact the church office.