2019-20 SOC Magnificat Moms Registration
First Name *
Your answer
Last Name *
Your answer
Do you need a name tag?
Email Address *
This will be used as a the primary form of communication.
Your answer
Primary Phone Number *
Your answer
Alternate Phone Number
Your answer
Street Address *
Your answer
City, State ZIP *
Your answer
Birthdate *
mm/dd
MM
/
DD
Spouse's Name
Your answer
Anniversary
mm/dd
MM
/
DD
Home Church
Your answer
I give permission for my name, spouse's name, children's names and ages, and phone number to appear in the Magnificat Moms Directory. The directory will only be available to other moms in the group.
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