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REGISTRATION FORM
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Parent's Name
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Email
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Phone Number
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Address
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Number of Children Attending
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One Child
Two Children
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Please select the number of children who will attend Mornings With Mommy
Name of First Child Attending
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Age of First Child Attending
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1 year
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5 years
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Name of Second Child Attending
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Age of Second Child Attending
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1 Year Old
2 Years Old
3 Years Old
4 Years Old
5 Years Old
Name of Third Child Attending
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First
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Age of Third Child Attending
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1 Year Old
2 Years Old
3 Years Old
4 Years Old
5 Years Old
Do any of your children have allergies or other medical concerns we need to be aware of?
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Dates Attending (Select any that apply)
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January 11, 2024 (Thursday)
January 12, 2024 (Friday)
January 25, 2024 (Thursday)
January 26, 2024 (Friday)
February 8, 2024 (Thursday)
February 9, 2024 (Friday)
February 22, 2024 (Thursday)
February 23, 2024 (Friday)
March 14, 2024 (Thursday)
March 15, 2024 (Friday)
March 28, 2024 (Thursday)
March 29, 2024 (Friday)
April 11, 2024 (Thursday)
April 12, 2024 (Friday)
April 25, 2024 (Thursday)
April 26, 2025 (Friday)
May 9, 2024 (Thursday)
May 10, 2024 (Friday)
May 23, 2024 (Thursday)
May 24, 2024 (Friday)
Do you have a home church?
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I hereby give my consent as the parent/guardian of the above named child/children to attend/participate in the Mornings With Mommy program at Ascension Lutheran Church at
23401 23 Mile Road,
Macomb, MI 48042. 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 Ascension Lutheran Church to take and use photography and/or video of my child for crafts, keepsakes, or promotional purposes in any type of media and understand I will not be compensated for any such use. Please check the box below to indicate your agreement to these terms and click the submit button to register. Thank you!
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Home
About Us
Worship with Us
Grow in the Word
Mornings with Mommy
Calendar of Activities
Video