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Moms Registration
Community Baby Shower

- Thank you for registering for the Walking with Moms Community Baby Shower.
  
  This event is free and open to expecting mothers and families with babies up to 6 months old.
  
  The first 100 people to register will receive a diaper bag filled with baby supplies and gifts. Lunch will be provided. You will have a chance to win some great door prizes like a car seat or a portable baby crib.
  
  Come join us for this fun community event to learn about the resources available to you through our partners.
- Moms Registration Form
  
  walking with moms
  
  This form is not accepting responses at this time.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Zip Code REQUIRED Please fill out this field. Please enter valid data.
  
  Would you like more information about the services offered by Walking with Moms in Need? REQUIRED Yes No Please fill out this field.
  
  If you would like more information, would you prefer a call or email? Phone Call Email Text
  
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