MomCo Annual Registration

Name

Address

Communication throughout the year is done primarily through facebook (MomCo, Gloria Dei (previousl MOPs) and email. Please provide the email address checked regularly by the adult listed above. All communication from Gloria Dei will go to this address.

This address will receive a confirmation email

Please enter cell phone number with area code for the adult listed above:
xxx-xxx-xxxx

Phone

Child(ren)'s name(s) & Birthdate(s):

Husband's Name (if applicable):

Have you attended a MomCo/MOPS group before?

Yes No

If so, where?

Are you already registered for The MomCo International Membership?

Yes No

Home church (if applicable):

How did you hear about this MomCo group?

Payment

*** After you hit the purple Submit & Pay button below, you will be brought to a confirmation page with a link to register your children who will attend MOPS meetings with you. Please register each of your children who will attend so that we have accurate numbers for planning for them!

The link is also in the confirmation email you will receive.

Gloria Dei Lutheran Church respects your privacy.

FOR OFFICE USE ONLY: Record of Payment for 'Pay at Door' || Date Received / Payment Type / Amount / Received by Initials

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Thanks for signing up for Gloria Dei MomCo 2024-25!

MomCo Annual Registration

Description

Please Fix the Following