YOUR PARTNER THROUGHOUT PARENTHOOD
Join Parenting eSource
Parenting information as your child learns and grows
MOISTEN, SEAL AND MAIL
Join Parenting eSource Receive email information regarding: • Safety recall notices
• Growth and development articles specific to your child’s age • Upcoming parenting classes
Sign Up Today! Option 1 Complete the information below. • Wet the adhesive strip at the top of the page. • Adhere the top and bottom of this sign up card. • Mail the card to the Mutch Women’s Center for Health Enrichment.
• No postage required.
Option 2
Sign up at sanfordhealth.org keyword: Parenting eSource
SIGN UP CARD First Name ____________________________MI ____________ Last Name__________________________________________ Year of Birth: (YYYY) __________________________________ Male
Female
If you wish to receive specific child growth and development information on your child(ren) up to the age of 8, list each child’s month and year of birth. Child’s Month/Year of Birth: (MM/YYYY)
Email Address_______________________________________
1.______________________________ 4.___________________________
Address ____________________________________________
2.______________________________ 5.___________________________
Apt/Lot#__________________
3.______________________________ 6.___________________________
City_________________________________________________ State______________ Zip Code__________________________ 1st phone number (______) ___________________________ 2nd phone number (______) ___________________________
(For Office Use Only) ____________________
015002-00260 6/17
NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES
REFER TO 200 46550
ROUTE #5667
BUSINESS REPLY MAIL
FIRST-CLASS MAIL PERMIT NO. 170 SIOUX FALLS SD POSTAGE WILL BE PAID BY ADDRESSEE
SANFORD WOMEN'S HEALTH PLAZA MUTCH WOMEN'S CENTER FOR HEALTH ENRICHMENT 5019 S WESTERN AVE STE 200 SIOUX FALLS SD 57108-9959