Portal Portal Public arrow_drop_down Public Event Calendar Online Giving Group Finder Opportunity Finder Mission Trip Giving Mission Trip Registration Make A Pledge Find Group by Survey Find Opportunity by Survey Private arrow_drop_down Private My User Account My Giving My Purchase History My Contribution Statement My Groups My Events My Mission Trips My Subscriptions My Profile My Giving Profile Church Directory My Calls My Pledges Show Summary (0) anonymous Login Event Registration Back to Event Detail Mom's Group Spring 2025* on Thursday, February 6, 2025 @ 9:30 AM Login Price: 50.00 *Attendee's First Name: *Attendee's Last Name: *Attendee's Email Address: *Attendee's Phone Number: Country: Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State of) Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China China, Hong Kong Special Administrative Region China, Macao Special Administrative Region Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Curaçao Cyprus Czechia Cote d'Ivoire Democratic People's Republic of Korea Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See Honduras Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Korea Republic of Moldova Romania Russian Federation Rwanda Réunion Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French Part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka State of Palestine Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Thailand The former Yugoslav Republic of Macedonia Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United Republic of Tanzania United States Minor Outlying Islands United States Virgin Islands United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Viet Nam Wallis and Futuna Islands Western Sahara Yemen Zambia Zimbabwe Address Line 1: Address Line 2: City, State Zip: AA AE AL AK AP AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VA VI WA WV WI WY Please make sure to check the box under each child that you are needing to bring to childcare. If at any point, your childcare needs change, please contact us. Please make sure to fill in your home address. There may be times that we will need to mail items to you, or drop things off at your house*Are you new to Moms Group?:YesNo*Mom's Age:*Marital Status:-- Select --MarriedSingleDivorcedWidowedWhat church (if any) do you attend?:PERFECT PAIR: You may put ONE name down of someone you would like at your 'table' (your name should be on her form as well) We’ll do our best, but NO guarantees. Perfect Pair Name::Please fill out for all the children in your family, and click the childcare button only for each of those kids that will need to be in childcare.PLEASE NOTE: The information regarding your children on this form are for informational purposes only. This helps the leaders in putting table groups together. To actually register ONLY those children that will require childcare, please use the link below. We apologize for the repetitiousness of the questions, but they serve two entirely different purposes. Child 1 Name:Child 1 Birthdate (MM/DD/YY):Child 1 Gender:MaleFemale*WILL YOU NEED GRACE TO PROVIDE CHILDCARE FOR THIS CHILD?:YESNO*Do you need to register another child?:YesNoChild 2 Name:Child 2 Birthdate (MM/DD/YY):Child 2 Gender:MaleFemaleWILL YOU NEED GRACE TO PROVIDE CHILDCARE FOR CHILD #2?:YESNODo you need to register a 3rd child?:YesNoChild 3 Name:Child 3 Birthdate (MM/DD/YY):Child 3 Gender:MaleFemaleWILL YOU NEED GRACE TO PROVIDE CHILDCARE FOR CHILD #3?:YESNODo you need to register a 4th child?:YesNoChild 4 Name:Child 4 Birthdate (MM/DD/YY):Child 4 Gender:MaleFemaleWILL YOU NEED GRACE TO PROVIDE CHILDCARE FOR CHILD #4?:YESNODo you need to register a 5th child?:YesNoChild 5 Name:Child 5 Birthdate (MM/DD/YY):Child 5 Gender:MaleFemaleWILL YOU NEED GRACE TO PROVIDE CHILDCARE FOR CHILD #5?:YESNOIf pregnant, enter your due date here.:*Check this box if the Attendee listed above is the mom's name:Yes, it is the mom's name.*Do you need childcare?:YesNo*I understand that once I sign up for childcare, it is my responsibility to notify Janie Walker at janie.walker@gracebaptist.org when my child isn't able to attend. I understand that after two unreported absences my child will be removed from the childcare list. You must CLICK HERE to register those children that will need childcare during Mom's Group Promo Code: Add Registration Total: Next