2026-2027 MOMs Together

Personal Information

Name

Address

Phone

This address will receive a confirmation email

Birth Date (month and day is fine)!

Questions

Name of church you attend (if applicable)

How did you hear about Moms Together at Hilltown?

Any personal allergies, dietary restrictions, or special concerns we should be aware of?

Name of Spouse (if applicable)

Emergency Contact (name and relationship to you)

Emergency contact phone number

Is there another mom you'd like to sit with this year? (Please list no more than 2 other moms). We can not guarantee seating preferences, but we will do our best!

Please register below any children who will require childcare during Moms Together Meetings.

Children

Child #1 Name

Child #1 Gender

Child #1 Birth Date (or due date)

Any allergies, dietary restrictions or special instructions?

Child #2 Name

Child #2 Gender

Child #2 Birth Date (or due date)

Any allergies, dietary restrictions or special instructions?

Child #3 Name

Child #3 Gender

Child #3 Birth Date (or due date)

Any allergies, dietary restrictions or special instructions?

Child #4 Name

Child #4 Gender

Child #4 Birth Date (or due date)

Any allergies, dietary restrictions or special instructions?

Please select your child(ren)'s class by their age as of 9/1/26. Select all that apply. Lap Baby in meetings (0-5 months) 6-11 months 12-24 months 25-35 months 3-4 year olds 5-6 year old Homeschool Age (2nd-6th grade)

If registering homeschool children, what are their grades for the 2026-2027 school year?

*If you have more than 4 children to register, please email Ranae at rluppold@hilltown.church with the names and birthdates of the additional children. **

Payment 2026-2027 Moms Together Year

Payment (Please contact Ranae at rluppold@hilltown.church if you need financial assistance)**

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

1st and 3rd Wednesdays 9:15-11:15 am

Our first official meeting begins on October 7, 2026 and runs until Wednesday, May 19, 2027.

Moms Together is a loving and supportive community of moms who have the shared purpose of learning how to love and serve their families, each other, the church, and the community well. We achieve this through meeting speakers/content, encouragement, mentoring, fun activities, and relationship building. Everyone (first time expectant to seasoned moms) is welcome!

The group meets on the 1st and 3rd Wednesdays of the month from 9:15- 11:15 am in the gym at HBC. Moms have a meeting (including hot breakfast and coffee) while the children enjoy their own childcare classes. Childcare classes include games, crafts, stories and snack. A class for homeschool age children is available; please send quiet work for them to complete. We also have regularly scheduled play dates, open gym, and Mom's Night Out events throughout the year.

Please contact Ranae Luppold at rluppold@hilltown.church with any questions about the group or if you need financial assistance.

2026-2027 MOMs Together

Description

Please Fix the Following