top of page

PARENTS' NIGHT OUT
REGISTRATION AND PAYMENT FORM

4 hrs $50,

7 hrs $80       

Late fees

0-15 min  $15

16-30 min $30

31-45 min $45

46-60 min $60


Deposit 1/2 of the chosen package to secure a spot.

15% discount for registration with a deposit 

After 2:01 AM Full $60 flat rate. 
Please call in advance for additional extended time 

     *(prepaid) for a discount rate.

Please call directly; do not ring the doorbell after 10:30 pm. 

 

Michele's Cell - (713) 444-7196

Office Phone -  (832) 806-0106

​

 

Payment Methods:
Cash app -

   $micheleyaameen 
Venmo -

   @Michele-Yaameen 
Zelle -

   713-444-7196 (Fancy Clean Services) business name 
 

AML 12.png

Remember to wear costumes or PJ'S

*For Parents Night Out, TBD

Please pack a change of clothes, bottles, diapers, wipes, blankets, sleeping bags etc.


Itinerary

6 PM to 7 PM snacks/games 
8 PM to 9 PM dinner 
9 PM to 10:30 PM activities
10:30-1:00 am movie, bedtime

*Please do not ring the bell after 10 PM.

​

Call only!

 

This form must be filled out for each child you are registering. Fill and sign form for each child.

Does Your Child Have Allergies
Birthday
Month
Day
Year
Potty Trained
YES
NO
I am registering my child for

Deposit 1/2 of chosen package to secure your spot.

15% discount for registration with deposit by Oct. 17th.

$50, 4 hours max
Time
HoursMinutes

Fill in your estimated time of arrival. Click on AM to change to PM

Estamted Pick Up Time 4 hrs Max
Time
HoursMinutes

Fill in your estimated time of pickup. Click on AM to change to PM.

$80, 7hrs max
Time
HoursMinutes

Fill in your estimated time of arrival. Click on AM to change to PM.

Estimated Pickup Time 7 hrs Max
Time
HoursMinutes

Fill in your estimated time of pickup. Click on AM to change to PM.

Do you need extended hours
NO
YES

A rep will reach out to you.

What Payment Source Will You Be Using For Your Deposit?
Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Registration Form

"Offering your child A Mother's Love with a Grandmother's hug"

  • Facebook

Richmond Texas 77407 (Harlem & Beechnut)

m_yaameen@yahoo.com

© 2022 A Mother's Love In-Home Cildcare Academy

bottom of page