SJN Mothers' Group Ministry Registration Form
Please complete our registration form to join all of the fun, get plugged into your community and have a conversation with moms in the same season of life as you. The start of our year roughly coincides with the start of school, running from September through August.

As the SJN Mothers' Group Ministry, our goals are to:
- promote fellowship and spirituality among the mothers of the St. John Neumann (Reston, VA) parish community.
- sustain a dynamic support network and build lasting friendships for our parish’s mothers as well as our children.
- answer the parish call to action by organizing events and, individually, volunteering our time, food and goods.
Your Member Info
Our primary method of communication will be electronic, both through email and our closed Facebook Group. As a closed group, admins must approve members and only group members can see posted content. You will be sent information about the Facebook Group once your registration has been processed.
First Name *
Your answer
Last Name *
Your answer
Birthday
MM
/
DD
Phone 1 *
Your answer
Phone 1 Type *
Phone 2
Your answer
Phone 2 Type
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Email *
Your answer
Facebook username
Click on your profile; your username is in the URL address. For example, www.facebook.com/username. Then, search for "SJN Mothers' Group" and request to join. Please do BOTH tasks: enter username here AND request to join through Facebook.
Your answer
What is your registered home parish? *
Are you fluent in another language?
Are you a... *
Your SJN Mothers' Group Info
How did you hear about the SJN Mothers' Group? *
Are you currently a member of the SJN Mothers' Group? *
If the answer is no, please skip to the next section, "Your Family Info."
If yes, when did you first join the SJN Mothers' Group?
Your answer
Your Family Info
Child 1 Name *
Your answer
Age *
Your answer
Sex
Child 2 Name
Your answer
Age
Your answer
Sex
Child 3 Name
Your answer
Age
Your answer
Sex
Husband's Name (optional):
Your answer
If you are pregnant or expecting, what month are you due?
Your answer
Additional Comments:
Note: If you have more than 3 children, please provide their information here.
Your answer
Your Interest in Service
Our ministry is governed by a Steering Committee made up of moms from all walks of motherhood who shape the vision for our group and focus our energies in select activities, events and acts of service.
Are you interested in getting involved with the Steering Committee this year?
Are you interested in assisting with one or more individual events or administrative tasks?
Do you have any talents or skills that you would be willing to offer to our group? If yes, indicate them here.
Examples: graphic design, photography, music, organization, writing, art, public speaking, facilitating discussions, theology background, fundraising, event-planning, curriculum/lesson-planning, interior design, project management, website design/administration, social media, marketing
Your answer
Additional questions/comments
Your answer
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