Request edit access
Join the Farmington Area Mothers' Club
Please fill in this form to join the Farmington Area Mothers' Club.
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Please enter using this format XXX-XXX-XXXX
Your answer
Email address used for Facebook login (if different from above).
Your answer
Address *
Street Address, City, State, Zip Code
Your answer
Date of Birth *
MM
/
DD
Whom should we contact in case of emergency? Please give a name and phone number. *
Your answer
Child #1 Name
First Last
Your answer
Child #1 Birthdate
MM
/
DD
/
YYYY
Child #2 Name
First Last
Your answer
Child #2 Birthdate
MM
/
DD
/
YYYY
Child #3 Name
First Last
Your answer
Child #3 Birthdate
MM
/
DD
/
YYYY
Child #4 Name
First Last
Your answer
Child #4 Birthdate
MM
/
DD
/
YYYY
Any food or pet allergies in your family? *
If yes, please specify person and their specific allergy
Your answer
How did you find out about FAMC? Can we thank someone for referring you? *
Your answer
I agree to the FAMC Bylaws *
Required
I agree to follow the FAMC code of conduct. *
Required
I agree to the FAMC liability release. *
Required
FAMC Photo Release
Farmington Area Mothers' Club uses photographs of our members and events for publicity purposes. We promote our organization using our website, Facebook, brochures, and other types of promotional materials. When photographs are used for publicity purposes, children and parents are never identified by name. All photos used for publicity will be available to view upon request. In addition, members reserve the right to request that any photograph not be used for this publicity.
Can FAMC use your photograph for promotional purposes? *
Can FAMC use your child's/children's picture for promotional purposes? *
Membership Dues
2018 - 2019 Annual membership* dues are as follows:
~Now - December 31, 2019 and pay $30.
~Join January 1, 2020 - April 30, 2020 and pay $15.
*Please note: annual memberships run now - May 31 2020.

All dues are payable by cash, check, or via Paypal
How do you plan to pay your membership dues? *
Welcome to the FAMC!
~For cash or check payments - further payment information will be sent to you via email.
~For PayPal payment - sign into your Paypal.com account, and select the "Send and Request" tab. Select "Send to friends and family in the US". Use the email address: famcmichigan@gmail.com.

A copy of this form will be sent to you via email. NOTE: it may end up in the "Spam" folder. Our Membership Chair will be in contact with you shortly. If you have any questions, please email us at membership@famcmi.org.
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy