Mornings with Mommy Registration
To register, complete the form below. The registration fee is $3 per family (not per child). Please bring cash or check with you to the session (written out to Mount Olive Lutheran Church). Session will be capped at the first 30 children registered. You will be notified if a session is full or cancelled for any reason. If the session is full, you will be placed on a waiting list in the order that your registration was received.
Email address *
Parent First Name *
Parent Last Name *
Which session(s) would you like to register for? *
Street Address *
City, State *
Zip Code *
Phone Number *
Please list the name(s) AND age(s) of the children attending: *
Do any of the children have allergies or other medical concerns we should be aware of? *
How did you hear about our program?
Clear selection
Would you like to be on our email list to receive notices when new sessions open for registration, as well as information about other special events?
Clear selection
Do you have a home church? *
If yes, which church do you belong to?
I would like more information about:
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 Mount Olive Lutheran Church at 930 E Florida Avenue, Appleton, WI 54911. My child and I hereby release, indemnify, and hold harmless the church, its employees and/or volunteer 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 Mount Olive to take and use photography and/or video of 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. *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Mount Olive Lutheran School. Report Abuse