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). Sessions will be capped at the first 20 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 *
Your answer
Parent Last Name *
Your answer
Which session(s) would you like to register for? *
Street Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Would you like a reminder the day before your session(s)? *
Please list the name(s) AND age(s) of the children attending: *
Your answer
Do any of the children have allergies or other medical concerns we should be aware of? *
Your answer
How did you hear about our program?
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?
Do you have a home church? *
If yes, which church do you belong to?
Your answer
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. *
Your answer
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 - Terms of Service