Want Registration Info?

Thank you for your interest in St. Laurence Parent’s Day Out program! We’re so excited to offer this ministry to our community’s most precious little ones. Please complete the Inquiry Form below so we can get your questions answered and your child/children on the list for enrollment. We will contact you in the next couple of days to talk with you about our program, schedule a tour and provide registration information. Upon completion of the Registration Packet and payment of $150 enrollment fee, your child will be fully enrolled.

Completion of this Inquiry Form does not reserve a spot in our program.

Registration Process

Submit This Inquiry Form
We will contact you to answer questions and provide registration documents
Your child (children) will be registered when all forms have been returned and the registration fee paid

Mother's Name

First Name

Last Name

Father's Name

First Name

Last Name

Mother's Email Address

Father's Email Address

Mother's Cell Phone

(###)

###

####

Father's Cell Phone

(###)

###

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Child 1 Name

First Name

Last Name

Child 1 Birthdate

MM

DD

YYYY

Child 2 Name

First Name

Last Name

Child 2 Birthdate

MM

DD

YYYY

Child 3 Name

First Name

Last Name

Child 3 Birthdate

MM

DD

YYYY

How did you hear about us?

Who should we contact and how?

Comment/Questions