Hopkinsville First United Methodist Church
Thursday, February 23, 2012

MDO Registration

Mother's Day Out Registration Form

     
     
 
     
 
     
 
Emergency Contact Information
     
 
I am registering for the following:
     1. One day a week
               Tuesday      Thursday
     2. Two days a week
               Tuesday     Thursday
 
Has the child been in group care before?
     Yes     If yes,
     No
Was this a positive experience?
     Yes     
     No       
Does the child take a morning nap? Yes     No
What are some of the child's favorite snacks?
Does the child have any allergies? 
Does the child have any fears?
List some favorite activities your child enjoys.
What words would you use to describe your child?
Is there anything else your child's teacher needs to know to best meet the needs of your child?