Event Intake Form

We’re thrilled to invite you to a meet-and-greet lunch event for the Maternal Minds Community!

This exciting afternoon includes a unique opportunity to be part of the Maternal Minds promotional video that will be uploaded on our social media accounts (Instagram, YouTube, Website).

Event Details:

Please note that this event is for Ladies Only.

🗓 Date: Sunday, December 22, 2024
🕛 Time: 12:30 - 3:30 PM
📍 Location: Maternal Minds Office, 330 Bronte Street South, Unit 201, Milton

Lunch will be served!

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Can we add you to our WhatsApp Announcement Group and Email List?*

YesNo

I confirm that I am over the age of 18. (Please note that this event is for women only).*

YesNo

Unfortunately, you are not eligible to attend this event as it is open to adults only.

Photo/Video/Audio Consent*

I hereby grant permission to Maternal Minds and its representatives to take and use photographs, video recordings, and/or audio recordings of me. I grant Maternal Minds the right to use these photographs, video recordings, and/or audio recordings in promotional or marketing materials, social media content, website content, educational or research materials, and other lawful purposes related to the activities of Maternal Minds. I understand that all photographs, video recordings, and audio recordings will remain the property of Maternal Minds, and that Maternal Minds shall have the right to use, reproduce, distribute, and publish them as it sees fit.

Maternal Minds Event 2024

Your Information