MYC Membership Form
Thank you for your interest in St. Ann's Mothers of Young Children! We are so excited to welcome you into this beautiful ministry of moms and children. Our mission is to provide a loving community for mothers to grow in faith and fellowship while serving our families and community.

Mothers of Young Children collects annual dues of $35 a year. By becoming a registered member you are supporting St. Ann moms, contributing to all children's activities, and helping to grow our community. With your dues payment you will also receive a MYC tumbler!
Email address *
New or renewing member *
Please select the appropriate box.
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Home Address: Street Number *
Your answer
City *
Your answer
State *
2-letter abbreviation (e.g., TX)
Your answer
Zip Code *
5 digits
Your answer
Do you require a scholarship for your dues? *
Shirt Size *
Family Information
Child 1 First Name
Your answer
Child 1 Birthday
MM
/
DD
/
YYYY
Child 2 First Name
Your answer
Child 2 Birthday
MM
/
DD
/
YYYY
Child 3 First Name
Your answer
Child 3 Birthday
MM
/
DD
/
YYYY
Child 4 First Name
Your answer
Child 4 Birthday
MM
/
DD
/
YYYY
Child 5 First Name
Your answer
Child 5 Birthday
MM
/
DD
/
YYYY
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