Mom Club Connection Log

This form is used by Life Support Team members to document Mom Club connections (meetings or gatherings). These connections help moms remain active in Mom Club and eligible for ongoing care and events.

Life Support Team Member Name

Life Support Team Member Email

Mom’s Full Name

Type of Connection

One-on-one mentor meeting/Bible study / spiritual support meeting

Mom Club gathering/Park Day

Other LoveHopes event

Date of Connection

Was this connection in-person or virtual?

In-person

Phone

Video call

Optional Notes