MomsConnect NEW Member 2nd Semester Registration Form

Member Contact Information

Name

This address will receive a confirmation email

Phone

Mailing Address

Let's get to know you...

Birthday

Marital Status

Wedding Anniversary

Please list your children's names and ages

Is there any other information you would like us to know? (Prayer requests, special needs, dietary needs, etc.)

Membership Payment

Cost of membership is $30 per semester, payable to Woodland Church online or by cash/check (due after first 2 meetings attended) This fee offsets the cost of dinners, crafts, prizes and other special things we do throughout the year. If you need assistance with this cost please choose that option below and a member of leadership will contact you regarding available scholarships.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out this form and click submit.

MomsConnect NEW Member 2nd Semester Registration Form

Description

Please Fix the Following