Mother's Day Out Registration
Card
Please
make checks payable to Amy Ash
Child's
Name:_________________________ (name
child goes by)________________
Child's
Date of Birth_______________ Church
Attending: _____________________
Mother's name:
_____________________
Occupation:_________________________
Address:
_____________________________________________________________________________________
Phone:
(H)______________________
cell_____________________
wk._________________
Father's Name:
______________________
Occupation: ________________________
Address:
_____________________________________________________________________________
Phone:
(H)
______________________ cell
_____________________ wk:
_________________
---------------------------------------------------------------------------------------------------------------------------------
For Office Use Only
Amount
Check #
Date paid
Registration fee:
$25.00
________
________
Emergency Information
Authorized Persons to pick up child
and act for parents in an emergency:
Name:
______________________________________
phone______________________
Name:
______________________________________
phone ______________________
Name:
______________________________________
phone ______________________
Allergies or physical conditions:
____________________________________________
I give permission to the Director or
Office Assistant to administer one
of the following medications to my
child in case of emergency.
Children's Benendryl yes ( ) no (
)
Neosporin yes ( ) no ( )
Children's Tylenol yes ( ) no ( )
I authorize
emergency care for the child named
on the front of this card yes
( ) no ( )
__________________________________
____________________
____________
Parent/Legal Guardian
Signature
Relationship to child
Date
Toddler (cold) Lunch Ideas
Tortilla roll-ups
Uses;
pb & j, cream cheese, turkey,
avocado, cheese, etc..
Pasta
salad
Tuna
fish salad
Tuna
fish sandwich
Cold
chicken
Peanut
butter on apples, add raisins and
it's "ants on a log"
Yogurt
w/ fruit to dip in
Sliced
hard boiled egg
Make
your own lunchable w/ their favorite
meat, cheese and crackers
Roll
string cheese in slice of ham
Note:
those little containers w/ lids are
great!
Milk
can be frozen in a to-go cup over
night, partially filled, then the
next morning add more cold milk.
Milk will stay cold until lunch.