Easter Registration - A Mom's Helping Hand of SWFL

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Children's Easter Event

Registration Form
Saturday, March 10th 2018 - 10:00 to 12:30

Please fill out and submit this form to AMHH no later than Wednesday, March 7, 2019. The Children's Easter Event will be held at Giuffrida Park in Cape Coral.

* Indicates required field

Parent's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Emergency Contact Number if different from above *

Child's Name *

First

Last

Age *

Child's Name *

First

Last

Child's Name *

First

Last

Child's Name *

First

Last

Age *

Age *

Age *

How did you hear about us? *

Are you a single parent? *

Yes No

Parents signature *

Please note: Pictures of the children attending this event will be posted on our website and Facebook page. By registering your children, you grant permission for the children's pictures (no names) to be posted. If you wish to be excluded from this, please inform us the day of the event.

Submit