Playgroup Family Information Form

To help enhance your experience, making it easier for you to connect and form lasting friendships with other moms, this form will help us better tailor the meetup event to your needs.

Email *
Name of Mom *
Email  *
Phone number  *
Caregiver other than mom --- name and phone #
Age of Children and Gender  *
Language spoken 
Clear selection
Neighborhood/ School District *
Activities you and your child(ren) enjoy to do  *
Required
Availability of a week 
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9am - 12pm
1pm - 3pm
3 pm - 6pm
Willing to host playgroups?
Clear selection
Willing to be connected with other moms outside the playground meetups via email?
Clear selection
Anything else you'd like to share about your family 
Thoughts to share with LEXFUN playgroups 
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms