OUMC - MDO

Mother's Day Out

Mother’s Day Out At OUMC

OUMC is proud of their 2 day Mother’s Day Out program. The program operates Tuesdays and Thursdays from 9:30-2:00 and is for ages 6 months to 4 years.

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

For more information or to check on availability contact Stacey Voelp @ 238-4300, 238-9216 or mdo@ooltewahumc.org

Please fill out the form below and download the following forms to get a head start!

Authorization Form
Child Information
Medical Treatment Authorization
Parent Checklist
Registration Form
Policy Statement

Mother's Day Out Application - School Year of 2011-2012

First Name:
*
Last Name:
*
Email Address:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Home Phone:
*
Cell Phone:
Child's Name:
*
Child's Gender:

Child's Birthdate & Age:
*
Child Lives With:

Mother's Name/Address/Phone (if different from above):
Father's Name/Address/Phone (if different from 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 #:
This facility is not required to be licensed by the State of TN as a child-caring agency.
Do not enter anything in this field:

* indicates a required field



Jimmy Needham Concert Tour at OUMC! March 9 7:30 p.m. get tickets online!