2026-2027 Mom Co Registration

Name:

Address:

Email:

This address will receive a confirmation email

Phone:

Faith Community (Home Congregation)

Nursery Care Registration

Only register children who will be in the nursery during meetings (even if it's occasionally, such as off days from Kindergarten). Children NOT using the nursery (elementary or preschool age) do not need to be added here.

**Children attending PUMC Preschool on Wednesday mornings do not need to register for the nursery as MomCo meetings will only occur if PUMC Preschool is in session. **

Child #1

Child's Name

Birthdate

Allergies:

Child #2

Child's Name

Birthdate

Allergies

Child #3

Child's Name

Birthdate

Allergies

Payment

The yearly registration fee for MomCo is $55. It begins in September 2026 and goes through May 2027.

2026-2027 Year Registration $55

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

1st and 3rd Wednesdays of the month, 9:30am-11:30am

Please fill out this form with your session payment and click submit.

2026-2027 Mom Co Registration

Description

Please Fix the Following