MOMS MINUTE SUPPORT GROUP Pre Registration Name * First Name Last Name Email * Phone Number * (###) ### #### Which Sessions Will You Be Attending * If you have insurance, we may be able to bill it for your participation. Otherwise, a small registration fee applies. We’re happy to check for you — just let us know at registration. I will attend full 8 Weeks! Week 1- MONDAY- June 23, 2025 Week 2- MONDAY- June 30, 2025 Week 3- MONDAY- July 07, 2025 Week 4- MONDAY- July 14, 2025 Week 5- MONDAY- July 21, 2025 Week 6- MONDAY- July 28, 2025 Week 7- MONDAY- August 4, 2025 Week 8- MONDAY- August 11, 2025 Who can we thank for a referral? Any Other Information You Want To Provide? Thank you For Pre- Registering for one or more of Mom’s Support GroupWe will reach out to you within 72 hours.If you have any further questions please give us a call! 480.745.4935 or Email Info@lucacommunityservices.org After submitting your reservation You will be contacted to finish registration
