Gathering for Working Moms 2025-2026
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Parent Information
Name
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Email
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Phone
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Additional Comments
Kids Information
There will be limited childcare available for this event. Please fill this bottom portion out for any children that will be attending the event
Child 1
Name
Birthday
Allergies/special needs
Anything we should be aware of so we can make sure your child has a great time at this event (behavioral, emotional, etc.)?
Child 2
Name
Birthday
Allergies/special needs
Anything we should be aware of so we can make sure your child has a great time at this event (behavioral, emotional, etc.)?
Child 3
Name
Birthday
Allergies/special needs
Anything we should be aware of so we can make sure your child has a great time at this event (behavioral, emotional, etc.)?
Child 4
Name
Birthday
Allergies/special needs
Anything we should be aware of so we can make sure your child has a great time at this event (behavioral, emotional, etc.)?
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