New Membership Form
Please provide membership information.
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Email *
Type of Member *
First Name *
Last Name *
Expecting/Family Member of Multiples *
Child(ren) Birthdays
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DD
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YYYY
Gender
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Contact Phone Number *
Street Address *
Town/City *
State *
Zip Code *
Name of Partner/Spouse
Spouse/Partner's Email Address
Child(ren) Names/Due Date or Birthdate *
How did you hear about Silicon Valley Twins & Triplets? *
Member Benefits You Are Interested In *
Required
Photo Release *
I understand that Silicon Valley Twins & Triplets may photograph or videotape the events in which I (or my children) are participating. Silicon Valley Twins & Triplets will make a reasonable effort to contact any identifiable subjects of photos and seek their permission to use said photos prior to use for the purpose of promoting the Silicon Valley Twins & Triplets and its services/programs or for educational purposes. I understand that no compensation of any kind will be paid to me (or my children) as this time or in the future for the use of my (or my children's) likeness. Permission is not required to participate in Silicon Valley Twins & Triplets events.
Required
Privacy Policy *
Silicon Valley Twins & Triplets provides this website as a service to the community and its membership. Silicon Valley Twins & Triplets is not responsible for, and expressly disclaims all liability for, damages of any kind arising out of use, reference to, or reliance on any information contained within the site. While the information contained within the site is periodically updated, no guarantee is given that the information provided in this website is correct, complete, and up-to-date. Although the Silicon Valley Twins & Triplets website may include links providing direct access to other Internet resources, including links to our members’ businesses, Silicon Valley Twins & Triplets is not responsible for the accuracy or content of information contained in these sites. Links from the Silicon Valley Twins & Triplets website to third-party sites do not constitute an endorsement by Silicon Valley Twins & Triplets of the parties or their products and services. The appearance on the website of advertisements and product or service information does not constitute an endorsement by Silicon Valley Twins & Triplets, and Silicon Valley Twins & Triplets has not investigated the claims made by any advertiser. Product information is based solely on material received from suppliers.
Required
Club Policy *
I understand that in order to join Silicon Valley Twins & Triplets, I must be either a Parent or Family Member of Multiples or Expecting Multiples. If I am not, and I knowingly join, then I understand that I am in violation of club policy and my membership will be revoked without refund.
Required
A copy of your responses will be emailed to the address you provided.
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