Little Champs MDO 2019-2020 Registration
Welcome to the Little Champs MDO Online Registration. We are so glad you have found us. Registration for the 2019-2020 school year begins February 1st. A separate form must be completed for each child.

Children must be one before September 1, 2019.

Please complete the form below. Submission of the form does not guarantee a spot in our program. We will be in touch with you within 72 hours to help complete your registration including payment of a $70 non-refundable fee per child.

School begins September 3, 2019
Child's Full Name (First Last) *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Dad's Full Name (First Last) *
Your answer
Dad's Phone Number *
Your answer
Mom's Full Name (First Last) *
Your answer
Mom's Phone Number *
Your answer
Email address *
Your answer
Home Street Address *
Your answer
Home City *
Your answer
Home Zip Code *
Your answer
Church Home
Your answer
How did you learn about us? *
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