MCN Kids' Day Out Enrollment
Please complete this form to begin the enrollment process for Mustang Church of the Nazarene's Kids' Day Out (KDO) Program. Submitting this form is not a guarentee of enrollment. The KDO Director will contact you to complete the process.
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I am enrolling my child for the following school year: *
Child's FIRST name *
Child's LAST name *
Address *
City *
State *
Zip Code *
Birthdate (Include month, day, and year.) *
Age on September 1, 2021 *
List any allergies or state none. Please include food, enviromental, and drug allergies. *
Please describe any medical conditions or possible limitations(glasses, speech delays, ect) or state if none. *
Child's Doctor's name and phone number *
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