***WAITING LIST*** Moms of Young Children 2018-2019 Registration
***We are currently full, however, please complete the registration form to be added to the waiting list! We usually have moms who aren't able to come, and we will try to add more spaces. If you are able to secure your own childcare or your children will be in school, please register and note it on the form!!******


Welcome to MYC! Please complete the following registration form. First semester dues will be $45. A $5 discount will be applied for registration and payment completed by Thursday, May 3rd. Registration will be opened to the public on July 1st.
Name *
Your answer
Address *
Your answer
Phone number *
Your answer
Email Address *
Your answer
Preferred method of contact *
Emergency contact name and phone number *
Your answer
Have you previously attended MYC? *
What is your home church (if applicable)?
Your answer
Child's name
Your answer
Child's birthdate
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Child's name
Your answer
Child's birthdate
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Child's name
Your answer
Child's birthdate
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Child's name
Your answer
Child's birthdate
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Do you or any of your children have any food/medical allergies? Any other information that would be helpful in placing your child in a class? *
Your answer
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