Mornings with Mommy Registration
We can't wait to meet you, but to help us plan, please fill out this form so we can make sure we're well-prepared for you.
Name of Parent / Guardian *
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Email *
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Phone Number *
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Street Address *
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City / State *
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Zip Code *
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Number of children attending *
Please list first and last names of children attending, along with their ages. *
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Please list any allergies here, if applicable.
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If you have a church home, please include it here.
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"I hereby give my consent as the parent/guardian of the above named child(ren) to attend and participate in the Mornings with Mommy program at Shepherd of the Hills Lutheran Church at 9191 Fletcher Parkway, La Mesa, CA 91942. 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 Shepherd of the Hills 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.) *
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