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Mustang Naz Kid's Day Out and Naz Co-op Enrollment
Please complete this form to begin the enrollment process for Mustang Church of the Nazarene's Kids' Day Out (KDO) or Naz Co-Op Submitting this form is
not a guarantee
of enrollment. The Director will contact you to complete the process.
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* Indicates required question
I am enrolling my child for the following session:
*
Choose
Summer Mini Session (Tuesdays & Thursdays, May 21- June 13)
Kid's Day Out/ Preschool (August 2024-May 2025)
Naz Co-Op (August 2024-May 2025)
If available, I would like my child enrolled for:
*
Tuesdays and Thursdays, 9:00-2:00
Tuesdays, Wednesdays, and Thursdays, 9:00-2:00 (not available for co-op or summer)
Other:
Child's FIRST name
*
Your answer
Child's LAST name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Oklahoma
Other:
Required
Zip Code
*
Your answer
Birthdate (Include month, day, and year.)
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MM
/
DD
/
YYYY
Age on September 1, 2024
*
0-6 months
6-12 months
1
2
3
4
5
School age
Grade completed in May 2024
*
PreK
Kindergarten
1st
2nd
3rd
4th
N/A
List any allergies or state none. Please include food, environmental, and drug allergies.
*
Your answer
Please describe any medical conditions or possible limitations(glasses, speech delays, ect) or state none.
*
Your answer
Child's Doctor's name and phone number
*
Your answer
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