Skip to content
MUMS WITH BUBS
*
1.
What is your name?
(Required.)
*
2.
What is your age?
(Required.)
18 to 24
25 to 34
35 to 44
Other (please specify)
*
3.
What’s your baby name/names?
(Required.)
*
4.
How old is your baby? In months
(Required.)
*
5.
What days of the week work for you to meet? Currently, Wednesdays are likely to be the day.
(Required.)
*
6.
Are you ok with 9.15-10.45 meeting time?
(Required.)
Yes
No
Other (please specify)
*
7.
How soon are you able to join the group and start attending?
(Required.)
*
8.
At what email address would you like to be contacted?
(Required.)
9.
If comfortable, please share your best mobile number for communication.
*
10.
What suburb are you located in?
(Required.)
*
11.
What is most important to you from such a gathering? Please share things that you would like to get out of it.
(Required.)
12.
Please use this space to share any other comments or questions you might have.