Mother’s Day Out

Care is available Tuesday and Thursday from 9:00am-1:00pm for birth through 4k.

Here is the link to our handbook for you to read. Please email or contact us with any questions.

Handbook

Mother’s Day Out Registration Form

Please answer all questions below to begin registration.

Remember: A registration fee of $50 is due. Completed registration is based upon receipt of the $50 registration fee and availability of classroom space.  Please make checks payable to Mt. Gilead Baptist Church. You may mail the fee to Mt. Gilead Baptist Church, Attention: Peggy Vinson, 2864 S. Brannon Stand Rd., Dothan, AL 36305 or bring it by the church office.

Thank you for your submission.


Child's Information

Child's Full Name (First MI Last)

Child's DOB (mm/dd/yyyy)

Child's Current Age

Child's Gender

Days Child Will Be Attending

Comments and/or Medical Concerns/Allergies

Parent/Guardian Information

Full Name (First MI Last)

Email

Primary Phone (Ex. 123456790)

Address

City

State

Zip

Additional Information

My child may be released to the following people.

Person #1

Full Name

Contact Number (Ex. 123456790)

Relationship to Child

Person #2

Full Name

Contact Number (Ex. 123456790)

Relationship to Child

Person #3

Full Name

Contact Number (Ex. 123456790)

Relationship to Child