Ooltewah United Methodist Church

OUMC Mother's Day Out

Mother’s Day Out At OUMC

(opening August 2008)

Will begin taking applications for teachers &

registering children on Monday, May 12th

We are excited to announce that we plan to open a 2 day Mother’s Day Out program. The program will operate Tuesdays and Thursdays from 9:30-2:00.

We are currently accepting applications for teachers.

It is also time to register your children, ages 6mths to 4 years.

Registration forms available at the nursery check-in desk on Sunday mornings, the church office, or on-line.

Teacher applications available from Annette at the church office.

Need more information….

contact Annette Smith @ 238-9316 or Childrensministry@ooltewahumc.org

Mother's Day Out Application - School Year of 2008-2009

* Required

First Name *

Last Name *

Email Address *

Address Line 1 * Address Line 2
City *	State *	Zip Code *

Child's Name *
Child's Gender *
Child's Birthdate & Age *
Child Lives With...
Mother's Name/Address/Phone (if different than above)
Father's Name/Address/Phone (if different than above)
Person (name/address/phone number) to be notified in case of emergency (other than mother/father) *
Names and phone numbers of up to 4 persons other than parents/guardian to whom the child may be released
Physician name and office number *
Allergies/Special medical conditions/Medications being taken
Insurance Company
Subscriber ID
Group #
For the School Year of 2008-2009 I am enrolling my child for... *

This facility is not required to be licensed by the State of TN as a child-caring agency.