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 full name. *
Please list your phone number. *
What city and state do you live in? Where is the closest metro city? *
Do you have a website? If so, please list it. *
Why do you want to start a Brown Mama's Chapter? *
How many friends do you have that currently want to join? *
Please list your Facebook handle. *
Please list your Instagram handle. *
Please give a brief description of your mothering status. (i.e. single, married, age of children, working status) *
Which description best describes your needs. (check all that apply) *
Required
What category best describes you? *
Are you currently a member of any in-person support groups in your city? Please list them. *
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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