MOCO Event Guest Registration & Payment

Mosaic Event Guest Registration

We are glad you are joining us for an event. Our Event Guest fee is $8.

After registering, you will receive an email confirmation. At the event, please show the Event Leader the email confirmation.

You can also join our club as an annual member. The annual membership provides free access to most of our events, including the Channukah party, Games Night, and our Summer Picnic. Your membership is also recognized at all Mosaic Outdoor Clubs of America.

Click here if you prefer to join Mosaic as an annual member.

Continue below to register as a guest for our event.
When is the event?

MonthDayYear
Date
What kind of event is this? Select one from the drop down list
Please select
Your name:

First NameLast Name
Email address:

Confirmation Emailexample@example.com
Phone Number (cell phone preferred):
Format: (000) 000-0000.
Is this your home or cellphone?
Address:

Street Address

Street Address Line 2

CityProvince / State

Postal / Zip CodeCountry
Where did you hear about us?
Emergency Contact

Our guest have the option to provide us with emergency contact information. This information will be shared with Event Leaders if required.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
The Fine Print
Please scroll through the box below and click on the tick box to review and agree to our terms and conditions below. This agreement is required in order to participate as an Event Guest.
Please scroll through the box below to review and agree to our Photography & Video Consent Waiver. If you do not agree to these conditions, please do not continue with this application:
Newsletters and Mailings

I understand that Mosaic Outdoor Club of Ontario (MOCO) shares name and email information provided on this membership form with Mosaic Outdoor Club of America (MOCA) for purposes of communicating regarding international in-person and virtual events.
Subscribe me to the Mosaic Ontario Newsletter!
Membership Payment

The link to our Mosaic online store will be displayed in the confirmation page after you submit this form, and it will also be included in a confirmation email sent to you
Please indicate if you would like to pay in person or online

Event Guest Fee

Event Guest fees$8.00 CAD

Enter coupon

Payment Methods

Credit Card

Apple Pay

Google Pay

Click the Submit button below to make your payment. Please give the form a few seconds to process your payment.
Please contact us at membership@mosaicontario.org for support in completing this form.
Should be Empty:

Emergency Contact

The Fine Print

Newsletters and Mailings

Membership Payment

Event Guest Fee

Payment Methods