Mornings with Mommy Registration
If you would like more information about Mornings with Mommy click the link below www.holyscripturefw.org/MorningswithMommy.

To register, complete the form below. The registration fee is $5 per family (Infants 0-6 months are free). Please bring cash or check with you to the session (written out to Holy Scripture Lutheran Church). Sessions must have at least 3 families registered to take place. You will be notified if a session is cancelled for any reason.

YOU ARE REGISTERING FOR OUR SESSION ON:
January 23, 10AM - "Colors & Shapes"
Parent's First and Last Name *
Your answer
Street Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
E-mail Address (for Confirmation of Registration) *
Your answer
Number of Children Attending *
Please write the name(s) and age(s) of the child(ren) attending. *
Your answer
If this is your first time with Mornings with Mommy, how did you hear about us?
Your answer
Do any of your children have allergies or medical concerns for us to be aware of? *
Your answer
Do you have a home church? *
Your answer
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 Holy Scripture Lutheran Church at 8811 Kinnerk Rd, Fort Wayne, IN 46819. My child and I hereby release, indemnify, and hold harmless the church, its employees and/or volunteers 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 Holy Scripture 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
I would like more information about Holy Scripture Lutheran Church?
REMINDER! Sessions begin at 10AM!
We look forward to seeing you! If you should need to cancel for any reason, please let our director know as soon as possible.
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