MOMCO (MOPS) Kids 2024-2025

MOMCO Kids Information

Children will be placed in their class based on their age/birthdate. Plan for your child to stay in their assigned classroom for the durration of the school year.

Child Information (6 years old or younger)

For children 7 years or older attending MOMCO, please contact the KidMin Director Anna Heacock at anna@roseburgalliance.org

Child's Name

Birthdate

Allergies/Special Needs/Special Interactions

Do you want RACKids volunteers to change your child's diaper? (Only 2 years old and under) Yes No

Parent Information

Parent Name

This address will receive a confirmation email

Phone

Are you willing to help out in a kids classroom 2x this year?

Yes No

Description

September 2024 - May 2025

Please fill out this form for each child if you plan to bring them with you to RAC MOMCO this year.

MOMCO (MOPS) Kids 2024-2025

Description

Please Fix the Following