Single Moms Day Application - 2024
April 27th 2024 | Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Preferred Contact Method
*
Please select all that apply.
Email
Phone Call
Text
Best times to contact you?
*
How did you hear about this event?
*
Children(s) names and ages
*
Will all these children be attending? We are offering free childcare for children 10 and under.
*
Do you or your kids have any allergies?
*
Will you be available from 9am-3pm on April 27th, 2024?
*
Please select one option.
Yes
No
Would you like your car detailed during the event?
*
Please select one option.
Yes
No
Are you ok with Canadian Valley Baptist Church taking and potentially posting photos and/or videos with you being in them?
*
Please select one option.
Yes
No
Are you ok with Canadian Valley Baptist Church taking and potentially posting photos and/or videos with your kid(s) being in them?
*
Please select one option.
Yes
No
Is there anything we should know? (Allergies, specific things, or ideas you’d like to bring to our attention?)
*
Please acknowledge that if you cannot come to this event, you will let us know as soon as possible so another mom can be blessed!
*
Please select all that apply.
Yes, I. will do this!
Submit
Description
April 27th 2024
Please fill out this form and click submit.
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