Park Chapel Moms 2026-2027

Name

Birthdate

Address

Best Contact Phone Number

This address will receive a confirmation email

How do you prefer to be contacted?

Phone Email Text

Church home

Park Chapel Other None

FAMILY

We want to get to know your families too!

Are you:

Married Divorced Single Widowed

Spouse's Name (if applicable):

CHILDREN

Please list the name and DOB of your children and specify who you'd like to have in PC Moms KidsCare. You only need to answer about allergies or special needs if child is attending KidsCare.

**Please note: Only children birth-5th grade are able to attend PC Moms KidsCare.

CHILD 1 (if applicable)

Name

DOB

Attending KidsCare? Yes No

PC Moms KIDS - allergies or special needs

_____________________________

CHILD 2 (if applicable)

Name

DOB

Attending KidsCare? Yes No

PC Moms KIDS - allergies or special needs

_____________________________

CHILD 3 (if applicable)

Name

DOB

Attending KidsCare? Yes No

PC Moms KIDS - allergies or special needs

_____________________________

CHILD 4 (if applicable)

Name

DOB

Attending KidsCare? Yes No

PC Moms KIDS - allergies or special needs

_____________________________

Additional children:

PREGNANCY

Having a new baby brings love, exhaustion, challenges, and excitement to any home! Our Moms group provides a few meals after delivery to help support the mom and family. We also secure a place in the PC Moms KidsCare nursery for the new baby.

Are you currently pregnant?

Due Date

At which hospital will you be delivering?

Payment $20

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

PC Moms is a place to find community and support for moms in raising a gospel-centered family. The group is open to moms of kids from infant to fifth grade.

Meetings consist of food, group study, prayer and fellowship. This year’s theme is Falling in Love with Motherhood. We will be starting this year with a RightNow Media video series called “Reclaiming Motherhood: Embracing the Untamed Beauty, Fun, Passion & Vitality of Motherhood.” We will watch the video together and go through the study guide questions in person, so no preparation is needed. And of course we will have opportunities to join in on crafts, play dates, and Moms nights out throughout the year!

We meet on the 1st and 3rd Wednesdays at Park Chapel from 9-11am.

There is a $20 registration fee to help cover the cost of activities and childcare throughout the year.

Dates for 2026-2027:
September 2 & 16
October 7 & 21
November 4 & 18
December 2 & 16
January 6 & 2
February 3 & 17
March 3 & 17
April 7 & 21
May 5 & 19

If you have any questions, feel free to email Cassie Mackell at castemackell@gmail.com or call/text at 463-218-0862.

Park Chapel Moms 2026-2027

Description

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