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[Schedule] [Literature Resources] [MOMs Leader Bios] [Childcare Information] [Registration Form]

Resources-MOMs Registration

[Literature] [Registration Form] [Photo Gallery]

Printable Version

 

You may print out the above form to register for MOMs or you can submit this form online!Fields in bold are required.

First Name:
Last Name:
E-mail:
Preferred Phone:
Mailing Address:
City:
State/Province:
Zip/Postal Code:

Birthday (Mo/Day/Year):
Anniversary:
Husband's Name:
Church Attending:
Career/Job/Profession:
Hobbies/Interests

 

Would you like to receive email updates about MOMs?

We’d like to develop a MOMs directory for distribution to our group. Would you like your information included in the directory?


If yes, is there any of the above information that you would not like included?

How did you hear about MOMs and what are you hoping to get out of MOMs?

 

 

 

 

 
   
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