MAEVE Claremont Sign up form

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Welcome to MAEVE Claremont! We're so happy you found us and excited to get to know you better. Please fill out the form below and we'll onboard you before the newsletter goes out for the following month. If you'd like faster onboarding, feel free to reach out to Carolyn at claremont@wearemaeve.org

Are you joining as a Home or Affiliate Member? If you live in Claremont, select "Home." If you live in a neighboring city like La Verne, Upland or Pomona, select "Affiliate."

Home

Affiliate

First Name *

Last Name *

Email *

Street Address *

City

State *

Zip Code *

Country

Phone Number *

Racial/ Ethnic/ Cultural Identity *

American Indian or Alaskan Native

Asian American or Asian

Biracial or Multiracial

Black, African American or African

Latina, Latinx, or Hispanic

Middle Eastern or North American

Native Hawaiian or Pacific Islander

White or European

Other

Decline to Respond

1st Child's Name

1st Child's Birthday (Month/Year- This is so we can place you in the age appropriate playgroup)

2nd Child's Name

2nd Child's Birthday (Month/Year- This is so we can place you in the age appropriate playgroup)

3rd Child's Name

3rd Child's Birthday (Month/Year- This is so we can place you in the age appropriate playgroup)

4th Child's Name

4th Child's Birthday (Month/Year- This is so we can place you in the age appropriate playgroup)

Additional Children's Names/Birthdays

Are you pregnant or expecting the arrival of a child soon?

How did you hear about MAEVE?

Do you agreee to abide to the MAEVE Membership Terms? Membership Terms *

TRUE

Date of Agreement *

YYYY

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