Mom's Gathering — Lynchburg, VA
We are so glad that you will be joining us on December 7th! Please take a moment to register below. (There is no cost to attend. Lunch will be provided.) 10 a.m.- 2 p.m. at Gospel Community Church Rivermont
Email address *
Your name
Your answer
Your child's name (for your nametag) ie. "Your Name- Nathan's Mom"
Your answer
Mailing address (street address, city, state, zip code)
Your answer
Please tell us about your family ... including the child who died and the general circumstances of his or her death. (Include as much or as little detail as you wish.)
Your answer
We will be providing lunch. Please list any food allergies.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy