MOMS
Club of Sherman Oaks/Van Nuys
Secret
Sisters Application
Name:__________________________________________________________________________
Address:________________________________________________________________________
Phone:__________________________ Directions to home: _______________________________
_______________________________________________________________________________
Best Days/Times to Deliver (i.e; when you're not home):_____________________________________
Husbands Name:________________________ His work phone:______________________________
Your Birthday:_________________________ Wedding Anniversary:__________________________
Name(s)/Birthday(s) of children:______________________________________________________
Expecting or Adopting (include due date):________________________________________________
Pets:_________________________________ Shirt Size:___________________________
Hobbies:_________________________________________________________________________
Holidays you celebrate:______________________________________________________________
Do you practice a religious faith? If yes than which?:________________________________________
Your personality: active, mildly active, shop-aholic, choc-aholic, cozy homebody (circle one or more)
Your personal style/taste: modern country eclectic garden granola
Color scheme of home:____________________ Favorite Flower:______________________________
Hair/Nail Salon & Stylist:_____________________________________________________________
Favorite Perfume:_______________________ Favorite Color:_______________________________
Favorite Dessert:___________________________________________________________________
Favorites (List as many as you can): ____________________________________________________
Sm. Escape/Indulgence (under $10)_____________________________________________________
Splurge (under $20)________________________________________________________________
Date Restaurants:__________________________________________________________________
Family Restaurants:_________________________________________________________________
Fast Food:_____________________________ Ice Cream Store:_____________________________
Coffee House:__________________________ Music______________________________________
Books/Authors:____________________________________________________________________
Movies:_______________________________ Magazines:__________________________________
Stores:__________________________________________________________________________
Special Interests:__________________________________________________________________
Collections:_______________________________________________________________________
Dislikes:_________________________________________________________________________
Additional information that may be helpful:_______________________________________________
_______________________________________________________________________________
Mail your completed application to: Lisa Henriksen, 18146 Rancho St, Tarzana, CA 91406
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