Ladies Coffee Break Register here. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *AddressAddress Line 1CityState / Province / RegionBirthdate (for celebration purposes only)Any Allergies?Will you need a ride to Coffee Break? *Yes please! I have included my addy above.No, I do not need a ride.No, I’m good, but I would be able to offer rides to someone.Anything else you want us to know about you?Check one or more of the following you plan on attending: *Monday evening in home Bible study: 7-9 pmTuesday morning Coffee Break 9:30-11:30 am **see childcare question below**Wednesday morning Zoom Coffee Break: 9:30-11:30 amMonthly Thursday evening Ladies Night Out social: 7-9 pmWill you require Childcare? *Nope, just me.Yes!My children’s names and ages are:Any allergies or special instructions in caring for your children?Would you like to volunteer to help with some of the monthly socials? *Yes!No.Submit
