Mom's Day Out Forms

Mom's Day Out Forms are available for download and printing here as PDF documents. If you do not have Adobe Acrobat Reader, get a copy free by clicking here.

MDO Online Registration

Required Forms:

  • Registration Form  Complete this form and attach it to the 3 pages of Emergency forms for each student.
     

  • Emergency Forms – Child Information Sheet, Release Form and Policies & Guidelines Form:  All 3 forms must be completed, signed, and attached to the registration form for each student.
     

  • First Time Students –  Must also attach the processing fee of $35 (non-refundable) per child made payable to Moms Day Out.

The completed forms may be mailed or dropped off to: Moms Day Out, First Evangelical Free Church, 2223 North Mulford Road, Rockford, IL 61107.

You will hear about your child’s placement within the next couple weeks once the forms are received.

 

 
Click on an animal below to visit your child's class!
caterpillar - 6-12 mos. butterfly - 12-18 mos. hippos - 1-1/2 to 2 yrs. chimps - 2 to 2-1/2 yrs. fish - 2-1/2 to 3 yrs. giraffe - 3 to 3-1/2 yrs. lion - 3-1/2 to 4 yrs. mice - 4 yrs. to PreK
 
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