PLAY DAY REGISTRATION FORM Fill out the information below, print the form, and then mail or deliver to: Play Day, 600 10th Ave. Marion, IA 52302. Child's Name:______________________________ D.O.B.:____________________________________ Phone:_____________________________________ Parent/Guardian's Names:____________________ I wish to register my child for: Full Time Childcare _________________________ Or Parents Day Out: Monday _________________________________ Tuesday _________________________________ Wednesday _______________________________ Thursday _________________________________ Friday ____________________________________ There is a one time $40 non-refundable registration fee. ***** Director Use Only ***** Registration Fee Paid _______________________ Start Date __________________________________