Mom's Day Out Summer Camp
Mom's Day Out Summer Camp is for kids ages 3-12. Drop-off is at 10 am, pick-up at 2 pm. Please make sure to send your child with a peanut-free/tree-nut-free lunch each day.
Child's Name *
Your answer
Birthdate *
Your answer
Please list any food allergies, intolerances, or special needs we should know about.
Your answer
Child's Name (2)
Your answer
Birthdate
Your answer
Please list any food allergies, intolerances, or special needs we should know about.
Your answer
Child's Name (3)
Your answer
Birthdate
Your answer
Please list any food allergies, intolerances, or special needs we should know about.
Your answer
Which summer camp session(s) are you registering for?
Mom's Name *
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
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
Session Fees
Each session is $110 for the first child. Siblings each receive a $10 discount. If you qualify for any other discounts (early bird or returning camper) those discounts will be reflected in your summer camp tuition price in your registration/welcome email.


Once I receive your registration form I will contact you via email to set up payment. I wish I were awesome enough to be able to accept credit cards. Unfortunately, being a small, home-based business we're going to have to be content with old school checks or the more hip and immediate, Venmo or PayPal.
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