TOAM Registration- National Day of Service
Thank you for your interest in participating in a Toddlers and Kids on a Mission Event.
Please complete the below registration.

September 9th
10:30 am-12:00pm
Shorewood library
3920 North Murray Avenue

The information provided will not be shared with any third party organizations.

Participant Information
Tell us about the child or children attending the event.
Name(s) and Age(s) of Participating Children *
Your answer
Parent/Guardian Information
Who will be accompanying the above child(ren) to the mission.
Parent/Guardian Name *
Your answer
Email *
This email address should be one you check regularly.
Your answer
Phone Number *
Your answer
Address *
Your answer
How will you participate? (select all that apply)
For this mission, we are requesting families to purchase part of the care packages. If you prefer, a donation of $15-20 helps us cover the cost of the packages. A donation is NOT required to participate at Shorewood Library. Donate Now: https://goo.gl/DkVI2u
Would you like to be added to our newsletter? *
Waiver & Photo Release
I, the undersigned and/or parent/guardian of the individual(s) named above, do hereby agree to indemnify and hold harmless Toddlers and Kids on a Mission, inc. and its agent from and against any and all liability resulting from participation in the missions listed below. I understand that the mission (s) in which I am enrolling, like all activity programs, has some inherent risk, for which I agree to assume the liability. Furthermore, the individuals named herein are in good health appropriate for the activities in which they will be participating.

For TOAM promotion purposes, photographs may be taken of participants. If you do not wish to have your photo taken, please notify the photographer or instructor. No names or any other identifying information will be shared if the photograph is used, unless requested.

Name *
Your answer
Emergency Contact
Name and phone number for Emergency Contact
Person not attending event
Your answer
Get your Shirts and Tote bags!
Purchase shirts, onesies, or tote bags through our site, and we will bring them to the mission for you!
Click Here: www.toammke.org/2017-shirts
Comments or Questions
Your answer
Thank You
Info@ToamMke.org l WWW.ToamMKE.org
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