MOM Matters meets at 10.00am on the first and third Tuesday of each month during the school year. While moms discuss relevant topics, your children will be taken care of by experienced childcare workers. If you would like to register you and your child/children, please complete the form below.

Thank you.

Mother's Name *
Mother's Name
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Child's name *
Child's name
Electronic Signature *
Electronic Signature Agreement By selecting the "I Accept" button, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement. By selecting "I Accept" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement. You further agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature, and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting agreement between you and Prairie Baptist Church. You are also confirming that you are the person authorized to enter into this Agreement. You further agree that each use of your E-Signature constitutes your agreement to be bound by the terms and conditions of these Disclosures and Agreement as they exist on the date of your E-Signature on this form.

or mail to:
Prairie Baptist Church
14790 East 206th Street
Noblesville, Indiana 46060