Moms Group 2018 Winter/ Spring Registration
Name
First Name *
Your answer
Last Name *
Your answer
Contact Information
Email Address *
Your answer
Phone Number *
Your answer
Address
Street *
Your answer
City *
Your answer
Zip Code *
Your answer
Is CCOB your home church? *
If you do not attend CCOB, what is your home church? (If any)
Your answer
Is this your first time attending Moms Group? *
Moms Group Email Preferences
Would you like to begin receiving Moms Group emails? (e.g. meeting information, play date opportunities, encouragement, special events, etc.) *
Moms Group Service Opportunities
(optional)
Attention Those Who are Volunteering as Children's Program Servants:
Child Care Registration
Please only register your children that will be attending moms group.
Child 1
First Name
Your answer
Last Name
Your answer
Age
Child 2
First Name
Your answer
Last Name
Your answer
Age
Child 3
First Name
Your answer
Last Name
Your answer
Age
Child 4
First Name
Your answer
Last Name
Your answer
Age
Child 5
First Name
Your answer
Last Name
Your answer
Age
Child 6
First Name
Your answer
Last Name
Your answer
Age
If Applicable
*Please list your child's name and any allergies that he or she may have. (No food will be served to the children).
Your answer
Comments: (If there is anything else you would like us to know.)
Your answer
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