LNN Membership Form
Please fill out this form (NEW MEMBERS ONLY – renewals scroll down to bottom of page for payment info). We look forward to getting to know you!
Contact Information
First Name *
Please enter your first name
Your answer
Last Name *
Your answer
Address 1 *
Your answer
Address 2
Your answer
City *
Your answer
ZIP Code *
Your answer
Phone Number *
Your answer
Email Address *
Would you like to receive email notifications. We will never sell or rent your information.
Your answer
Membership Directory *
Can we include your contact information in our Membership Directory?
Babysitter/Petsitter in Residence?
If you wish to be included in the directory, can we indicate whether you have a babysitter or petsitter at home? (Note: No children's names will be listed.)
Household members
Partner Name
Your answer
Partner Phone Number
Your answer
Partner Email Address
Your answer
Child 1 name
Your answer
Child 1 year born
Your answer
Child 2 name
Your answer
Child 2 year born
Your answer
Child 3 name
Your answer
Child 3 year born
Your answer
Additional childrens names and years born
Your answer
Interests
When did you move to Lexington? *
Your answer
From where? *
Your answer
Program Interests
Where did you hear about LNN?
Your answer
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