Mom's Day Out Enrollment 2021-2022
* Required
Child's Name
*
Your answer
Birthdate
*
Your answer
Please list any food allergies, intolerances, or special needs I should know about
Your answer
Child's Name (2)
Your answer
Birthdate
Your answer
Please list any food allergies, intolerances, or special needs I should know about
Your answer
Which day are you registering for?
*
Tuesdays, 9 am - 2 pm -- $100 per month
Wednesdays, 9 am - 2 pm -- $100 per month
Thursday Mornings 9 am - 12:30 pm -- $75 per month
Required
Mom's Name
*
Your answer
Address (including city) where the child resides
*
Your answer
Phone number
*
Your answer
Email
*
Your answer
Dad's Name
*
Your answer
Phone number
*
Your answer
Email
Your answer
Person(s) who will be dropping off and picking up. Please list name and phone number.
*
Your answer
Is your child potty trained?
*
Yes
No
In the process of potty training
How did you hear about Mom's Day Out?
Facebook ad
Facebook yardsale page
Library
Returning student
Friend
Other:
Clear selection
If you were referred by a friend, who referred you?
Your answer
Do you give permission for your child's image to appear on the Mom's Day Out Facebook page and Mom's Day Out website? Give your permission by typing your name below. If you do not give your permission, please leave blank.
Your answer
Registration Fee
One-time, non-refundable registration fee:
$30 per child.
The registration fee goes to off-set the cost of snacks, supplies, and payment fees.
Registration is not complete, and your spot is not reserved, until the registration fee is submitted. Spots are reserved on a first-pay, first-served basis. Registration fee can be paid via Venmo @MomsDayOutUtahCounty or a check made out to "Mom's Day Out Utah County".
Once I receive registration fee payment I'll send out your MDO welcome letter via email. First month's tuition will not be due until the last week of August. If you pay via Venmo, I will send you a payment reminder during that last week of August.
Monthly Tuition
Tuition rates are as follows:
Tuesday and Wednesday Mom's Day Out:
$100 per month for one child 9 am - 2 pm.
$190 per month for two children (siblings).
Thursday Mom's Morning Out:
$75 for one child 9 am - 12:30 pm.
$140 per month for two children.
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