Children’s Morning Out is a Methodist School of Excellence for Young Children and is accredited by the North Georgia UMC Preschool Association. It is not licensed by Bright from the Start: GA Dept. of Early Care & Learning and is not required to be licensed. PLEASE NOTE: Registering online does not guarantee placement. Status will be sent via email upon receipt of application. For questions or more information, please contact Michelle Marshall: 404-378-4541, ext. 111

Non-refundable application fee of $100. Pay online or by cash or check in person or by mail. Make checks payable to DFUMCWCM. Mailing Address: Michelle Marshall, 300 Ponce De Leon Avenue, Decatur, GA 30030

Child's Name *

Child's Name

First Name

Last Name

Parent Name (1) *

Parent Name (1)

First Name

Last Name

Parent Name (2) *

Parent Name (2)

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent 1 Employer *

Parent 1 Employer Phone

(###)

###

####

Parent 2 Employer *

Parent 2 Employer Phone

(###)

###

####

Emergency Contact *

Name(s) of friend or relative other than you or your spouse whom we should call in case of an emergency. Someone who has permission to pick up your child.

DFUMC Church Member?

Yes

Which church do you attend?

Number of Years at CMO *

Indicate Day(s) *

Choose 1 or 2 days for age 2 and younger, 1-4 days 2 and over

Monday

Wednesday

Thursday

Friday

Email Address (1) *

Email Address 2

Child's Date of Birth *

Child's Date of Birth

YYYY

Preferred Phone (1) *

Preferred Phone (2) *

In case of an emergency, and we cannot reach you, do we have permission to take your child to their doctor or to a hospital for treatment? *

Yes

Pediatrician *

Pediatrician's Phone *

IMMUNIZATION FORM DUE TO CMO BY START DATE.

Date Immunization Expires *

Does your child have any allergies? If so, please list. If no, write N/A. *

Please indicate any special instructions or information (allergies, medical issues, etc.) *

Do we have permission to take your child to the fenced playground or indoor gym? *

Yes

Other Special Notes

Thank you! The aim of CMO is to help each child develop a wholesome self-concept, an eagerness for learning, an appropriate value system for social growth and the ability to think and work independently in a loving, Christian setting. We look forward to speaking with you soon. {Please note, registration not complete until $100 application is paid (non-refundable once accepted)} For your convenience, you may pay online HERE.

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Decatur First United Methodist Church, 300 East Ponce de Leon Avenue, Decatur, GA, 30030(404) 378-4541