Women’s Midday Childcare Registration Form

Murdock Chapel offers a safe, loving and spiritual environment for your child while you are attending our Women’s Midday Bible Study (WMBS). Childcare is offered FREE in conjunction with the WMBS on Wednesdays from 11:45-1:00 p.m. The Bible Study is from 12:10-12:50p.m. If you need assistance with childcare, it is necessary for you to register your child(ren) in advance at The Chapel as pre-registration allows us to schedule adequate supervision.

Any questions or concerns may be directed to Mia Cole, WMBS Childcare Coordinator, at info@mcame.org or 334.224.8795.

Mother/Guardian's Information *
Mother/Guardian's Information
Address *
Address
Cell Phone *
Cell Phone
Home Phone *
Home Phone
Child #1
Child #1
Child #1 Date of Birth
Child #1 Date of Birth
Child #2
Child #2
Child #2 Date of Birth
Child #2 Date of Birth
Child #3
Child #3
Child #3 Date of Birth
Child #3 Date of Birth
Child #4
Child #4
Child #4 Date of Birth
Child #4 Date of Birth
Child #5
Child #5
Child #5 Date of Birth
Child #5 Date of Birth
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