Registration for Concord Kids & Me
Event Date & Time:  4th Sunday 4-6 pm in person

This Single Mom encouragement gathering meets in Concord 28025 and is facilitated by Dana McNeill.  Dana will contact you with details about meeting place by the info you provide here within 48 hours of registration;  please email The Kids & Me if you do not hear from Dana.  Childcare and a meal will be provided, so if your plans change please let us know so that we can adjust accordingly.

If you have any questions about this registration or the required Consent and Release Agreement, please send your question to singlemomsandkids@gmail.com

Sign in to Google to save your progress. Learn more
Email *
Are you a Single Mom? *
First Name *
Last Name *
Phone Number *
Do you prefer to chat by text or phone? *
Your Zip Code *
Please indicate the names(s), age(s), and gender(s) of your child(ren) who will attend with you and need childcare. *
Do you have any church affiliation?  If so, please tell us which church. *
I understand that in the interest of preserving the confidence of our relationships, I must agree to this form in order to participate.   *
Captionless Image
Required
Which meetings will you attend? *
Required
Thank you for registering for The Kids & Me LIVE LAUGH LATTE Concord!  Follow-up information will be sent to the email address you provided.  We look forward to seeing you!
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