CDMOTC Registration Form
Please fill out this form to become a member of Capital District Mothers of Twins Club
Email *
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Name *
Address *
Phone Number (Please provide at least one) *
Type of Twins *
Name of Baby A *
Name of Baby B *
Name of Baby C (add other names here if higher order multiples)
Twins' Date of Birth (or due date) *
MM
/
DD
/
YYYY
Other Siblings Names
Other Siblings' Years of Birth (2006, 2015 etc.)
Partner/Spouse's Name
Would you like to become a member of the National Organization ($10 annual dues which includes a magazine subscription) *
Would you be willing to host in your home? *
Would you be interested in being on the Club's Board? *
Do you have any ideas for guest speakers for the group?
A copy of your responses will be emailed to the address you provided.
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