The Kids & Me Registration for Virtual Live Laugh Latte

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Event Dates: 3rd Sunday of each month @ 4 pm

This Single Mom encouragement gathering is facilitated by The Kids & Me and conducted VIRTUALLY via Zoom. Registration is required.

You will be contacted at the email address you provide to verify meeting information.

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

电子邮件地址 *

Are you a Single Mom? *

Yes

First Name *

Last Name *

Phone Number *

Do you prefer to be contacted by phone or text?

The Zip Code of your Home Address *

What are your children's ages?

Do you have any church affiliation? 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. This form can also be viewed at this link https://docs.google.com/document/d/1Y7r4GneO5UFb0Z6SETwOWI_SHlVVmV4w9tcH5_gry2E/edit?usp=sharing *

Yes, I agree to these terms.

必填

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