Gulf Coast Baby Café Mom Registration & Demographics 2021

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Today's Date

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Is this your first time attending or are you a repeat visitor?* Please enter your information here to continue

New Participant

Repeat Participant

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Mother's First Name* Please enter your information here to continue

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Baby's First Name* Please enter your information here to continueIf pregnant, type month you are due

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Phone Number

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Email* Please enter your information here to continue

example@example.com

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New Participant Registration

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parent registration form / old

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Parent Session Attendance Form. Fill out this quick section before each Baby Café session you attend. Hint: You may wish to bookmark this page.

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Click submit below to complete your registration. You will receive an email to register for the Zoom Session and login details. Our Baby Café is every Thursday from 9am - 11am. You can drop in at any time or stay the full 2 hours, it's up to you. See you then.