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MomCo - AM Session - Spring 2025 on Thursday, February 13, 2025 @ 9:30 AM

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**Please read this carefully**

MomCo registration: If you do not wish to pay the full MomCo membership fee at this time, please select "deposit" from the drop-down menu at the top of this form. You will be responsible for paying that balance off by the end of the semester.  

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KidCo Childcare: We are offering childcare for children through Kindergarten. Infants are allowed to attend meetings with mom, but once children are mobile (crawling or walking) we ask that childcare arrangements be made outside of the meeting. This allows for both mom and child to enjoy their time.

There is a $40/child registration fee that covers all 8 meetings of our semester. We request this be paid at the time of registration. If you are unable to pay at this time, please email momco@wacc.net for assistance in completing registration and payment for childcare.

At this time, we are only able to accommodate 50 total kids, so please do not wait to register. Once space is filled, you will no longer be able to add a childcare option. Please email momco@wacc.net to be added to the waitlist. 
Please be sure to adjust quantity for the number of children NEEDING childcare. Space is ONLY guaranteed if the selection in this section matches the names listed below.
   
40.00 
Please complete the fields below with ADDITIONAL INFORMATION:
*When is YOUR birthday? (DD/MM/YYYY):
*Have you attended MomCo (previously MOPS/MOMSnext) before? If so, where?:
*Do you attend WACC?:
*In order to place you in the correct group, what ages are your children?
*Would you be interested in being placed at a Spanish Speaking table?:
*Will you need childcare for one or more children? Please note we can only accept children through Kindergarten:
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If you answered "NO" to childcare, please skip to the end of this form.
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If you answered "YES" to childcare, please fill out the following questions only about the children you NEED childcare for and be sure to add the childcare fee at the beginning of this form.
What language is primarily spoken at home?:
Child 1 - First and Last Name:
Child 1 - Birthday (MM/DD/YYYY):
Child 1 - Special Instructions (including allergies, medications, special needs):
Child 2 - First and Last Name:
Child 2 - Birthday (MM/DD/YYYY):
Child 2 - Special Instructions (including allergies, medications, special needs):
Child 3 - First and Last Name:
Child 3 - Birthday (MM/DD/YYY):
Child 3 - Special Instructions (including allergies, medications, special needs):
Child 4 - First and Last Name:
Child 4 - Birthday (MM/DD/YYYY):
Child 4 - Special Instructions (including allergies, medications, special needs):
*I understand that if I need childcare, I must register my children on this form:
*I understand that I will be responsible for paying the rest of my balance by the end of the semester:
If you had any issues completing this form, please email momco@wacc.net for assistance. We look forward to having you join us for this semester of The MomCo
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