The Cuse Mom Feature Submission
We want to feature you and/or a mom you admire. We are looking for ALL moms--single, married, working, stay-at-home--from different backgrounds. Mommies-to-be are welcomed as well! You are awesome. If you want to submit for yourself and another mother, please fill out two separate forms.
Email address *
What is your first and last name? *
What is the first and last name of the person you want to be featured? Put "self" if you're submitting for yourself. *
How can we contact person you want to be featured? If submitting for yourself, put "N/A" if make sure email above is correct. *
How would you describe yourself/the person you want to be featured? (Check all that apply) *
How many children do you or person want to be featured have? *
Tell us what you would like to know about you yourself or person want to be featured? *
Would you like to receive our newsletter in the future? You will be the first to now about giveaways, exclusive news and features. If so, please be sure that the email entered at beginning is the correct. *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy