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Thank you for choosing to become a member of RecruitMyMom.co.za. Please complete the below form.
All * fields are required. On completion, we will send you instructions on how to activate your account.

Username (We suggest using your email address) *

Spaces are allowed; punctuation is not allowed except for periods, hyphens, apostrophes, and underscores.

E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Mom's profile

Title *

Age of children *		Order
	*	Weight for row 1
		Weight for row 2
		Weight for row 3
		Weight for row 4
		Weight for row 5

Add another field for each child you have.

Your main area of skill(s)

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Word verification * Type the characters you see in this picture.

(verify using audio)

Type the characters you see in the picture above; if you can't read them, submit the form and a new image will be generated. Not case sensitive.

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