St. John the Baptist

MUMS Registration

1. Mother information

2. Children's Information

Child's Name (1)
Birthday
Allergies/ Special Needs
Will this child require babysitting at the MUMS meetings?	Yes No

Child's Name (2)
Birthday
Allergies/ Special Needs
Will this child require babysitting at the MUMS meetings?	Yes No

Child's Name (3)
Birthday
Allergies/ Special Needs
Will this child require babysitting at the MUMS meetings?	Yes No

Child's Name (4)
Birthday
Allergies/ Special Needs
Will this child require babysitting at the MUMS meetings?	Yes No

If child(ren) will be babysat at M.U.M.S., a Child Care Agreement form must be filled out and signed.

3. More about you...

List your occupation or profession (past or present), your interests, hobbies, or talents:
Comments

4. Fees

	I would like to pay the $15.00 for the first semester
	I would like to pay the $30.00 annual fee

	BABY SITTING FEES WILL BE ASSESSED PER CHILD. WE WILL HAVE MORE INFORMATION AT A LATER DATE.
	I can contribute to a scholarship fund to help a mom in need. Amt $
	Make checks payable to M.U.M.S. Send to Katie Nacke; 2225 Kay St.; Longmont CO 80501. Please include a completed Childcare Agreement, if you will need babysitting.

Hispanic

Life

Liturgical

Outreach 2006 Outreach Report>> Emergency Assistance>> Food Bank>> Gift Shop>> Missions>>

Religious Education Class Calendar 2007>> Baptism Preparation>> RCIA>> Children's Religious Education >> Children's Liturgy>> Vacation Bible School>> Youth Ministry>>

Youth

Stephen

Stewardship

Church Organizations & Groups Prayer Groups>> Bible Studies>> Women's Groups>> Fraternal>> Lay & 3rd Order>> Scouts>>



copyright � Church of St. John the Baptist 2007	323 Collyer Street, Longmont CO 80501 phone: 303-776-0737 fax: 303-772-5636 email: info@johnthebaptist.org