MOMS Group Registration 2023-2024

MOMS Group Registration 2023-2024

(AM & PM)
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Which group will you be attending?

AMPM
What topic(s) would you like to be presented during meetings?
Ex. Health and Wellness, Toddler Tantrums, etc.
CHILDCARE

Childcare is provided for the AM MOMS group only in HCL's Toddler Nursery.

A goodwill donation from moms that use the caregiver is encouraged.

Please supply your own diapers and wipes (if needed), snack, and water.
Do you need childcare?

Yes, please!No, thanks.
How many children will you be bringing?
What are the ages of the children you are bringing?
Ex. 3 and 1
Does your child(ren) have any allergies?

Yes (Please share allergy information below.)No
Allergy information
We look forward to seeing you at MOMS!
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