Mothers and Babies Group Sign Up
Join us for a 9 week session to discuss ways to deal with stressors through mindfulness and connection. Group meet ups will be Wednesdays starting October 5th - December 7th from 10:30 a.m. - 11:30 a.m.  This will be offered both in-person and online.  Any questions?  Call Building Brickies at 219-942-7263 ext. 8811 or email buildingbrickies@hobart.k12.in.us

Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Phone Number *
Address  *
Do you have a baby 12 months or younger?  Please give name and date of birth of your child/children.   *
Are text messages for reminders and updates ok? *
Required
Are emails from Building Brickies ok? *
Required
Do you give Building Brickies permission to use photos of you and your children for future promotional purposes?   *
Required
Do you wish to meet in-person or online?   *
Participation Agreement:  I will work hard to be at each of the seven sessions as life allows!  I understand that information shared here will be confidential and that any information gathered during this course will only be shared anonymously for the purposes of our grantors.   I give permission to School City of Hobart to assist me with screenings and to share that information anonymously to the grantor.   Please take my name typed below as an electronic signature agreement.   *
Do you have any questions or anything you want us to know?   *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of School City of Hobart. Report Abuse