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Mornings with Mommy Registration
When: November 1st; 10am till 11am
Where: 777 SE 58th Ave, Ocala, FL 34480
Parent's First Name *
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Parent's Last Name *
Your answer
Phone Number *
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Email Address *
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We will send you a reminder a few days before the session begins. How would you prefer to receive this reminder? *
Street Address *
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City, State *
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Zip Code *
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Number of Children Attending *
Name of First Child Attending *
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Age of First Child Attending *
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Name of Second Child Attending
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Age of Second Child Attending
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Name of Third Child Attending
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Age of Third Child Attending
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Do any of your children have allergies or other medical concerns we need to be aware of? *
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Do you have a home church? *
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If this is your first time with Mornings with Mommy, how did you hear about the group?
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I hereby give my consent as the parent/guardian of the above named child/children to attend/participate in the Mornings With Mommy program at Abiding Hope Evangelical Lutheran Church at 777 SE 58th Avenue Ocala, FL 34480. My child and I hereby release, indemnify, and hold harmless the church, its employees and/or volunteers from any and all liability from any claim, injury, or loss sustained by or during my child's participation during Mornings With Mommy. I hereby authorize Abiding Hope Evangelical Luther Church to take and use photography and/or video of me and my child for crafts, keepsakes, or promotional purposes in any type of media and understand I will not be compensated for any such use. Please type your name in the box below agreeing with this consent form. *
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