Mornings with Mommy Registration

To register complete the form below. Donations are recommended only and typically $5.00 per family (not per child). Please bring cash or check with you to the session. Checks may be written out to Pilgrim Lutheran. If you register for a session listed as Wait Listed; you will be contacted in the days leading up to the session if a spot opens up.*
Which session would you like to register for? **
 All
 3/13 10a Monkeys, Zebras and Zoo
 3/27 10a All About Art - Cancelled
 4/10 10a Easter
 4/24 10a Rain Clouds and Puddles
 5/8 10a Flowers, Birds and Mother's Day
 5/22 10a Donuts With Daddy
Parent's First name*
Last Name*
Email Address*
Street Address*
City, State*
Zip Code*
Phone Number*
Would you rather a phone call or text to confirm you are coming to the session? *I like to confirm the day before to ensure I have appropriate materials and in the event there is a waiting list.*
 Text Message
 Phone Call
If you are changing sessions, please tell us which session you need to cancel. Please only fill out if you are changing a session you already signed up for.
Number of Children Attending*
 1
 2
 3
 4
Name of First Child Attending*
Age of First Child Attending*
 Infant
 1
 1.5
 2
 3
 4
 5
Name of Second Child Attending
Age of Second Child Attending
 Infant
 1
 1.5
 2
 3
Name of Third Child Attending
Age of Third Child Attending
 Infant
 1
 1.5
 2
 3
 4
 5
Is this your first time attending Mornings With Mommy? If so, how did you hear about us? *
Do any of the children have allergies or other medical concerns we need to be aware of? *
Do you have a Home Church? *
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 Pilgrim Lutheran Church at 3901 1st Ave S, Minneapolis, MN 55409. 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 Pilgrim 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 type your name in the box below agreeing with this consent form.*


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