Mornings with Mommy Registration 2022

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

I am registering for the following sessions:

**Waitlist** for January 18th - Things that Go!

Clear selection

**Waitlist** for February 1st - Red, Hearts, and Valentine’s Day

Clear selection

**Waitlist** for February 15th - At the Farm

Clear selection

**Waitlist** for March 1st - Fun With Food

Clear selection

**Waitlist** for March 15th - Music and Instruments

Clear selection

**Waitlist** for April 5th - Easter and Eggs - Jesus is Risen!

Clear selection

**Waitlist** for April 19th - Rain, Clouds, and Puddles

Clear selection

Parent/Caregiver's Name *

Email Address *

Address (line 1) *

Address (line 2)

City *

State *

Zip Code *

Phone Number *

Number of Children Attending: *

Names and Ages of Children: *

How did you hear about us? *

Does your child have any food allergies or medical concerns we need to be aware of? *

Yes

If you answered "yes" above, please indicate allergies or medical concerns your child(ren) might have.

Please check the box if you are interested in receiving information about any of the following:

St. Paul's Lutheran Church

St. Paul's Lutheran School (PreK-8th grade)

Other children's activities

Please type your first and last name below to give your consent. *

CONSENT: I hereby give my consent as the parent/guardian of the above name child/children to attend/participate in the Mornings with Mommy program at St. Paul's Lutheran Church at 401 16th Ave. N, Bangor, WI 54614. My child and I hereby release, indemnify, and hold harmless the church, its employees, and/or volunteers from any and all liability from any claim, injury, or loss sustained by or during my child's participation during Mornings with Mommy. I hereby authorize St. Paul's to take and use photography and/or video of myself and my child(ren) for crafts, keepsakes, or promotional purposes in any type of media and understand that I will not be compensated for any such use.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms