Mornings with Mommy Registration
To register please complete the form below.
Which session would you like to register for?
Mornings With Mommy sessions start at 9:45am
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Email Address *
Your answer
Street Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Would you rather receive a phone call or text to confirm you are coming to the session? *
I like to confirm the day before to ensure I have appropriate materials and in the event there is a waiting list.
Phone Number *
Please provide number to use for confirmation text or call.
Your answer
Number of Children Attending *
Name of First Child Attending *
Your answer
Age of First Child Attending *
Name of Second Child Attending
Your answer
Age of Second Child Attending
Name of Third Child Attending
Your answer
Age of Third Child Attending
Name of Fourth Child Attending
Your answer
Age of Fourth Child Attending
Is this your first time attending Mornings With Mommy? If so, how did you hear about us? *
Your answer
Do any of the children have allergies or other medical concerns we need to be aware of? *
Your answer
Do you have a Home Church? If so, which one? *
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 Lamb of God Lutheran Church at 3993 State Road 38 E Suite F, Lafayette, IN 47905. 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 Lamb of God 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. *
Please type your first and last name below to give your consent.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.