2017-2018 October Mid-Day Registration Form
Please fill out the sections below to register your child for Mid-Day. ***Please note that the mid-day classes are contingent on enrollment. We must have at least 3 children enrolled in order to hold the class. ***
Email address *
Child's First Name *
Your answer
Last Name *
Your answer
Class *
Please check which morning class your child attends
Monday - Head, Shoulders, Knees and Toes
This month the children will enjoy movement games and other fun activities!
3's Mini Monday Session 12:00-1:30 (3's only please)
Stay for lunch and play!
Tuesday - Fall Fun!
The children will explore the season of Fall in many fun and creative ways!
3's Mini Tuesday Session 12:00-1:30 (3's only please)
Stay for lunch and play!
Wednesday - Monster Mash
1 little, 2 little, 3 little monsters! Come join us as we boogie with some of our favorite Halloween monsters!
3's Mini Wednesday Session 12:00-1:30
Stay for lunch and play
Thursday - Baa, Moo, Quack, Oink!
Come visit the farm. Explore animals, food and vehicles.
3's Mini Thursday Session 12:00-1:30
Stay for lunch and play
Friday - Fun & Game Fridays
Join us for child centered games and fun in many different forms!
3's Mini Friday Session
Stay for lunch and play
Food Allergies: if yes please provide details in the special instruction section *
Special instructions *
Your answer
Total amount Due *
Please add the totals above, then fill in the amount due below. Make sure to send your payment into the Nursery School office.
Your answer
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This form was created inside of Ascension Evangelical Lutheran Church.