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MUMs (Mothers Uplifting Mothers)
Registration Form (2023-2024)
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First Name:
Your answer
Last Name:
Your answer
Birth date:
MM
/
DD
/
YYYY
Address (Street, City, Zip):
Your answer
Email Address:
Your answer
Phone Number:
Your answer
Husband (if applicable):
Your answer
Anniversary:
MM
/
DD
/
YYYY
Church Name (if applicable):
Your answer
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