2024 Summer Camp Application
Enrollment Status
*
Please Select
Current Family
Current Family Sibling
Current Waitlist Family
New Family- CANNOT REGISTER BEFORE FEB 28
Child's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Child's Age
Child's Gender
Which weeks are you applying for?
Week One: May 28-31 Crafty Creators* 4 DAY WEEK (Tu-Fr)
Babies 1 Day
Babies 2 Day
2 Day (T/Th)
2 Day (W/F)
4 Day (T-F)
If applying for babies select which day/days
Tuesday
Wednesday
Thursday
Friday
Week Two: June 3-7 Eco Explorers
Babies 1 Day
Babies 2 Day
2 Day (T/Th)
3 Day (M/W/F)
5 Day (M-F)
If applying for babies select which day/days
Monday
Wednesday
Thursday
Friday
Week Three: June 10-14 Things that Go
Babies 1 Day
Babies 2 Day
2 Day (T/Th)
3 Day (M/W/F)
5 Day (M-F)
If applying for babies select which day/days
Monday
Wednesday
Thursday
Friday
Week Four: June 17-21 Under the Big Top
Babies 1 Day
Babies 2 Day
2 Day (T/Th)
3 Day (M/W/F)
5 Day (M-F)
If applying for babies select which day/days
Monday
Wednesday
Thursday
Friday
Week Five: June 24-28 Science Sprouts
Babies 1 Day
Babies 2 Day
2 Day (T/Th)
3 Day (M/W/F)
5 Day (M-F)
If applying for babies select which day/days
Monday
Wednesday
Thursday
Friday
Week Six: July 8-12 Powers and Princesses
Babies 1 Day
Babies 2 Day
2 Day (T/Th)
3 Day (M/W/F)
5 Day (M-F)
If applying for babies select which day/days
Monday
Tuesday
Wednesday
Thursday
Friday
Week Seven: July 15-19 Born to be Wild
Babies 1 Day
Babies 2 Day
2 Day (T/Th)
3 Day (M/W/F)
5 Day (M-F)
If applying for babies select which day/days
Monday
Wednesday
Thursday
Friday
Week Eight: July 22-26 Prehistoric Adventure
Babies 1 Day
Babies 2 Day
2 Day (T/Th)
3 Day (M/W/F)
5 Day (M-F)
If applying for babies select which day/days
Monday
Wednesday
Thursday
Friday
Is your child potty trained for bladder? *Required if turning 3 on or before Sept 1, 2023
*
Please Select
Yes
No
Is your child potty trained for bowel? *Required if turning 3 on or before Sept 1, 2023
*
Please Select
Yes
No
Medical Conditions or Allergies
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Parent Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Liability Waiver: I hereby certify that my child(ren) is/are in good physical condition and do/does not suffer from any disability that prevents or limits his/her participation in all activities conducted by Morningside Day Out Inc. I acknowledge that Morningside Day Out Inc will not assume any responsibility or liability for personal injury or damages caused by the injury. In the event Morningside Day Out Inc is unable to reach a parent, guardian or any emergency contact, I hereby give permission for my child(ren) to be transported to the nearest hospital for treatment in case of an accident or emergency. I hearby further authorize(s) any of the the staff or employees to provide for, approve and authorize health care at hospital.
*
I have read and agreed to the above statement
Photo Release: I hereby grant and authorize Morningside Day Out Inc the right to take, edit, copy, publish, distribute and make use of any and all pictures or video taken of my child(ren) to be used in and/or for legally promotional materials and digital communications. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing. I understand and agree that these materials shall become the property of and will not be returned.
*
I have read and agreed to the above statement
Tuition Policy: I understand that all tuition deposits and application fees are non-refundable
*
I have read and agreed to the above statement
License Exemption Agreement: I understand that MDO preschool has been operating as a non-licensed school since January 1979 and has exempt status from the state of Georgia. More information on license exempt programs can be found here https://www.decal.ga.gov/CCS/Exemptions.aspx
*
I have read and agreed to the above statement
Dates of Service: Morningside Day Out Preschool (MDO) agrees to provide education and care for my child during the hours of 9:00 am-1:00 pm
*
I have read and agreed to the above statement
Late Pickup: I agree to pick up my child no later than 1:00 pm from MDO. If I do not retrieve my child by 1:00 pm I will be charged $1.00 for every minute that I am late.
*
I have read and agreed to the above statement
Information Policy: I acknowledge it is my responsibility to keep my child’s record current to reflect any significant changes as they occur; e.g., telephone numbers, home and work locations, emergency contacts, child’s physician, child’s health status, immunization records.
*
I have read and agreed to the above statement
Parent Handbook: I agree to abide by the written policies and procedures of Morningside Day Out Preschool as outlined in the MDO Parent Handbook.
*
I have read and agreed to the above statement
Potty Training Policy: I understand that my child must be fully independently potty trained* if turning 3+ on or before September 1, 2023 and that my child may be removed from the program if they are unable to use the restroom independently while enrolled in the above mentioned classes. *Independently potty trained is defined as initiating using the restroom, pull pants up/down, wipe, flush and wash hands without assistance.
*
I have read and agreed to the above statement
Parent Signature: By signing I agree that my electronic signature shall be the legal equivalent of my manual signature
*
Application Fee (NOT REQUIRED FOR CURRENT FAMILIES)
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