Valley Mall

Just Mom and Me Sign Up

Registration Form

The Just Mom & Me program at Valley Mall features fun-filled events and activities for kids ages 3-8. Membership is free. Sign up for the Just Mom & Me program by completing the form below. As part of your membership, you'll receive the Just Mom & Me enewsletter, featuring details on upcoming events and articles just for you! To join, a parent or guardian should complete the form below.

The undersigned hereby releases and indemnifies PREIT Services LLC, its principles, agents, employees and officers, from and against any and all damages, claims, and liabilities arising from, or in connection with, the undersigned's children's participation in the Valley Mall's Mom & Me program.

Mall Shopping Hours

Monday-Saturday: 10am-9pm
Sunday: 11am-6pm

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Email Address:*

First Name:*

Last Name:*

Address:*

City:*

State:*

Zip code:*

1st Child's Name:*

1st Child's Age:*

1st Child's Birthday:*

2nd Child's Name:

2nd Child's Age:

2nd Child's Birthday:

3rd Child's Name:

3rd Child's Age:

3rd Child's Birthday:

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Just Mom and Me Sign Up

Registration Form

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