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Single Mom’s Blessing Nomination Form

This Mother’s Day we want to bless two single moms from our church family or community
with a day of pampering. All nominations must be received by May 3rd.

Name of Person Nominating *
Name of Person Nominating
Cell Number of Person Nominating *
Cell Number of Person Nominating
Name of Nominee
Name of Nominee
Cell Number of Nominee
Cell Number of Nominee