Motherhood Dinner

Name

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Phone

Address

Will you be using our church's childcare for the event?

Yes No

If you are preregistering children, please list names and ages.

Do we have your permission to provide your children with dinner: chicken nuggets, carrot sticks, goldfish, and juice during the event? Yes No

Do you want to receive our weekly emails? Yes No

Do you want to receive text message reminders from us? Yes No

How did you hear about our event?

Anything else that you would like for us to know?

Description

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