Brown Mama Chapter Interest Form
Hello and thanks for inquiring about building a Brown Mama Chapter in your city. If you are looking to create a positive circle of support for yourself and other African-American mothers in your region, Brown Mamas can provide you with the infrastructure you need to do it! Fill out the form below and someone will be in touch with you in the next 30 days.
Email address *
Please list your name, email and phone number. *
Your answer
What city and state do you live in? Where is the closest metro city? *
Your answer
Do you have a website? If so, please list it. *
Your answer
Why do you want to start a Brown Mama's Chapter? *
Your answer
How many friends do you have that currently want to join? *
Your answer
Please list your Facebook & Instagram handles. *
Your answer
What category best describes you? *
Are you currently a member of any in-person support groups in your city? Please list them. *
Your answer
Please be aware that all information is kept confidential. Please wait 30 days before you reach out to us for an update. We look forward to chatting with you!
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