Register your child today for one of our many classes.

I would like to register a child…

First Time Registration


We’re so excited you have chosen to enroll your child in Mom’s Day Out, and we know you are too! Before that can happen there are some forms we need you to complete and return to us. Please download and complete the forms below, and return them in person or by mail to:

Mom’s Day Out
2223 N. Mulford Rd.
Rockford, IL 61107

You will hear about your child’s placement within the next couple weeks once the forms are received.


  • Registration Forms Packet
  • Vaccination Forms
    A copy of your child’s vaccination records will be required at the time of registering.
  • First Time Students
    Must also attach a check for the processing fee of $50 (non-refundable) per child made payable to Moms Day Out with their forms.

Once you receive confirmation of your child’s enrollment, you will be able to use the form below for ongoing monthly registration.

Ongoing Registration Form