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MomCo Registration 26-27
Yay! We're so glad you're signing up for MomCo at CLC!
Name (first and last) *
How did you hear about our MomCo Group? *
Required
Cell Phone Number *
Address *
Email Address *
What is the best way to communicate events and details with you? *
Required
Birthday *
MM
/
DD
/
YYYY
Church Affiliation *
Emergency Contact (name and number) *
Food Restrictions/Allergies *
Required
Child 1 Name and Birthday *
Childcare needed for child 1? *
Required
Child 2 Name and Birthday
Childcare needed for child 2?
Child 3 Name and Birthday
Childcare needed for child 3?
Child 4 Name and Birthday
Childcare needed for child 4?

Registration Fee: The annual fee to join our chapter of MomCo is $120.

**$110 Early Bird through July 2026**

Partial payments are accepted and scholarships are available! Please do not let the cost impact your decision to join – contact our coordinator if you need more information – (Alex Scott at 317-452-9127).

Please make your check payable to Christ Lutheran Church, with MomCo on the memo line. We also accept electronic payment.

After you submit this form, you'll get an email to make your payment.

I am interested in learning more about a monthly Tuesday night Mom’s Faith-Based Study hosted at/by Christ Lutheran Church? (This would take the place of small group) *
Required
Service Opportunities:  The MomCo leadership team provides a special opportunity for service and growth. Please list any service interests
I give Christ Lutheran Church MomCo permission to give my contact information (via a copy of the directory) on the CLOSED Facebook Page or share with other moms in MomCo. *

I give Christ Lutheran Church MomCo permission to put photos of myself on Facebook.

 *
Required

I give Christ Lutheran Church MomCo permission to put photos of my children on Facebook.

 *
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