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MOPS & MOMS next CARENET

Name *
Name
Phone
Phone
I am registering for: *
Which age group would you best benefit receiving wisdom about? *
Address
Address
Your Birthday
Your Birthday
Have you attended a MOPS/MOMSnext group before?
I may be interested in helping with MOPS this year.
(Please check the area(s) that interest you.)
Child 1 Date of Birth
Child 1 Date of Birth
Childcare Needed?
Child 2 Date of Birth
Child 2 Date of Birth
Childcare Needed?
Child 3 Date of Birth
Child 3 Date of Birth
Childcare needed?
Child 4 Date of Birth
Child 4 Date of Birth
Childcare Needed?
(Optional)
I hereby authorize Christ's Church Federal Way, hereafter referred to as “Company,” to publish photographs taken of me, and my name and likeness, for use in the Christ's Church's print, online, social media and video-based marketing materials, as well as other Company publications. I hereby release and hold harmless Christ's Church from any reasonable expectation of privacy or confidentiality associated with the images specified above. I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with the taking or publication of these photographs or participation in company marketing materials or other Company publications. I acknowledge and agree that publication of said photos confers no rights of ownership or royalties whatsoever. I hereby release Christ's Church, its contractors, its employees, and any third parties involved in the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation.
Thank you for registering online. You will receive more information at your first meeting.