MMO Summer Session Registration

MMO-2020

      Trinity Lutheran MMO Summer Session 2020

                                           June 16 to  July 30

     Tuesday, Wednesday and Thursday mornings 9 to 11:30 $75.00 a week

                               2 mornings 9 to 11:30 $55.00 a week

           Lunch Bunchers 11:30 to 1:30 ..($10.00 a day) …Late Show 1:30 to 3:00 ($ 10.00)

Registration

Name…………………………………………………………………            Age________________________

Address_______________________________

             _______________________________                     Cell #______________________

Phone____________________

Class presently attending__________________________

Allergies___________________________________________________________________

Food Sensitivities____________________________________________________________

In Case of emergency:

Name……………………………………………….Phone#

Name……………………………………………….Phone#

I give my permission for my child ……………………………to receive Emergency Medical Treatment

Please Circle the weeks you are interested in participating and on the line next to it fill in the number of days 2 or 3

June 16……………Here Comes The Sun__________

June 23……………4th of July_____

July 7…………….We are Going Camping_____                         

July 14…………….Five Little Monkeys____

July 21…………… Teddy Bear Picnic ________

July 28…………

_________

Please complete and return with the fee for the first week of participation before May 1st

Weeks participating_______________   Amount due___________

                                          Please complete the reverse side

    Trinity Lutheran Nursery School & Mothers= Morning Out

Child=s Name_________________________________

Class_______________________________________

Emergency Contact information:

In the order of notification

Name                       Relation                          Phone number

1.___________         __________________        ______________

2.___________         ___________________      ______________

3.___________        ____________________     _______________

People Permitted to pick up your child from school:

Name                       Relation                            Phone

1._____________       __________________        _________________

2._____________      ___________________        ________________

3._____________      ____________________       ________________

4.____________       _____________________      _________________

Allergies:__________________________________________________

Food Sensitivities_________________________________________________________

Does your child have asthma? yes or no  

Does your child have an inhaler ? Yes or no       Does your child have an epi pen? yes or no

e mail address___________________________________________________

I give my permission for my child_____________________, to have her photo taken at school for our facebook page and web page.  Yes    no

Please attach photo

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