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Join the Mommy’s Moment Family

We’re excited that you’re interested in joining our 5-Star childcare community!
Please complete the form below to begin the enrollment process. Once submitted, our team will review your information and reach out to confirm program availability and schedule your next steps.

If you have any questions while filling this out, please call us at (910) 884-3007 or email mommyzmoment@yahoo.com.

Child & Family Information

    Parent / Guardian Name*
    Phone Number*
    Email Address*
    Home Address*
    Child’s Full Name*
    Child’s Date of Birth*
    Program of Interest*
    Requested Start Date
    Days of Care Needed*
    Desired Schedule*
    Has your child previously attended daycare?
    Additional Children Enrolling
    How did you hear about us?
    Does your child have any allergies or special needs?
    Additional Comments or Questions

    FAQs

    Before You Enroll – Common Questions from Families

    We welcome children 6 weeks through 12 years old, offering programs for Infants, Toddlers, Preschool, NC Pre-K, and After-School & Summer Care.
    Start dates depend on classroom availability. Once your form is submitted, our director will contact you within 1–2 business days to confirm openings and next steps.
    We’ll need your child’s birth certificate, current immunization record, and emergency contact information. If applicable, please include any allergy or medical forms.
    Tuition rates vary by age and schedule. Please contact us for accurate pricing. Payments are managed securely through Brightwheel: Pay Fees.
    We’re open Monday–Friday, 6:30 AM to 6:00 PM, providing full-day programs designed to support working families.
    Yes! Breakfast, lunch, and two healthy snacks are included daily, prepared by a licensed nutritionist following USDA “Choose My Plate” guidelines.