Moms with Littles Registration 2024-2025

Name

Address

This address will receive a confirmation email

When can you attend:

Morning only (9:30-11:30am) Evening only (6:30-8:30pm) Both

Phone

Birthdate

Home Church

Pregnant

Yes No

Due date if pregnant:

Please list your children and their birthdays:

How many will you need childcare for? *Note: Childcare will only be provided for children 10 and under.

If yes to childcare, which meetings will you need childcare for? Morning only Evening only Both

If this is your first year joining us, is there a friend you will be attending with? If so, please write her name below.

Description

Please fill out this form and click submit.