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Compassionately Serving

the Lost and Disadvantaged in our Community

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Adopt-A-Mom Mother's Day Baskets

Sign Up a Mom to receive a basket by filling in the form below.

Requester's Name
Requester's Phone
Requester's Email
Mom's Name
Mom's Phone
Mom's Email
Notes:

  Click the Submit key when all information has been entered.

  Bayside Church  

  8211 Sierra College Blvd, Suite 440

  Roseville, Ca 95661

                                               (916) 791-1244  (Community Outreach: x8514)