Mentors & Moms Registration

Welcome to 2019-2020                    Mentors & Moms 

Based on the Titus 2 mandate that older women mentor younger women, the moms meet weekly in small groups with their mentors. A time of fun, food, fellowship & Bible study for all moms, Thursdays, 9:15 - 11:15 am from September - April. Childcare provided. For more information, please contact Ann Falls at 222-1733.

Parent/Guardian Information
Name
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E-mail
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Address
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Best Phone Number --
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Birthday
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Day and Month only
Child's Information
Child 1 Name
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Child 1 Age
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Will Child 1 need childcare?
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Child 1 allergies/special needs/medical info/other
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Child 2 Name
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Child 2 Age
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Will Child 2 need childcare?
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Child 2 allergies/special needs/medical info/other
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Child 3 Name
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Child 3 Age
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Will Child 3 need childcare?
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Child 3 allergies/special needs/medical info/other
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Child 4 Name
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Child 4 Age
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Will Child 4 need childcare?
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Child 4 allergies/special needs/medical info/other
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Church Home
Do you have a church home?
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Name of church home
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Spam Capture
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