Mother's Ministry at MGCB

Welcome to Mother's Ministry (M&M) at Mechanic Grove Church of the Brethren!

We're so excited that you're interested in joining us!

By filling out this form, you're letting us know that you hope to participate in our gatherings that are held on the 2nd and 4th Fridays from 10:00am-11:30am in the Family Life Center (gym) at Mechanic Grove Church of the Brethren.

Please note, your information will remain confidential and stored within the church mangement system where only church staff and leaders of this group can access the information. You're children's information is used for events where we will offer childcare.

Parent Name (First, Last)

This address will receive a confirmation email

Phone

Address

Please list the NAME (First, Last) and BIRTHDATE of Child 1.

I give Mechanic Grove Church of the Brethren permission to use photos of my child (Child 1) on social media and in church publications. These publications may be posted online. Pictures may also be used in church announcements.

Yes, I give Mechanic Grove Church of the Brethren permission to use these images. No, I do not give Mechanic Grove Church of the Brethren permission to use these images.

Does this child have any allergies that our staff needs to be aware of?

None Eggs Wheat Tree Nuts Peanuts Milk Other

Please list the NAME (First, Last) and BIRTHDATE of Child 2.

I give Mechanic Grove Church of the Brethren permission to use photos of my child (Child 2) on social media and in church publications. These publications may be posted online. Pictures may also be used in church announcements. Yes, I give Mechanic Grove Church of the Brethren permission to use these images. No, I do not give Mechanic Grove Church of the Brethren permission to use these images.

Does this child have any allergies that our staff needs to be aware of? None Eggs Wheat Tree Nuts Peanuts Milk Other

Please list the NAME (First, Last) and BIRTHDTE of Child 3.

I give Mechanic Grove Church of the Brethren permission to use photos of my child (Child 3) on social media and in church publications. These publications may be posted online. Pictures may also be used in church announcements. Yes, I give Mechanic Grove Church of the Brethren permission to use these images. No, I do not give Mechanic Grove Church of the Brethren permission to use these images.

Does this child have any allergies that our staff needs to be aware of? None Eggs Wheat Tree Nuts Peanuts Milk Other

Please list the NAME (First, Last) and BIRTHDATE of Child 4.

I give Mechanic Grove Church of the Brethren permission to use photos of my child (Child 4) on social media and in church publications. These publications may be posted online. Pictures may also be used in church announcements. Yes, I give Mechanic Grove Church of the Brethren permission to use these images. No, I do not give Mechanic Grove Church of the Brethren permission to use these images.

Does this child have any allergies that our staff needs to be aware of? None Eggs Wheat Tree Nuts Peanuts Milk Other

Mother's Ministry at MGCB

Description

Please Fix the Following