Quick Register

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 our Quick Registration form below so we can get your child/children on the list for enrollment. $150 per child enrollment fee will be required to complete the process. Our director, Cherie Bennett, will contact you in the next couple of days. 

 

Please complete the form below

Mother's Name *
Mother's Name
Father's Name
Father's Name
Mother's Cell Phone
Mother's Cell Phone
Father's Cell Phone
Father's Cell Phone
Child 1 Name
Child 1 Name
Child 1 Birthdate
Child 1 Birthdate
Child 2 Name
Child 2 Name
Child 2 Birthdate
Child 2 Birthdate
Child 3 Name
Child 3 Name
Child 3 Birthdate
Child 3 Birthdate