2020 - 2021 GMOM Membership Form
Thank you for your interest in becoming a member of GMOM! Whether you're a new member or a returning member, we're happy to have you! Remember that your membership is not complete until GMOM has received your completed membership form and your membership dues. Please take a few moments to fill out this brief form for our records, and check your inbox for a welcome email with important members only information from
. Note that questions marked with a red star are required. Be sure to click on SUBMIT at the end of this form to ensure it has been submitted.
GMOM has the option to sponsor a limited number of full and partial memberships on an annual basis. Sponsorships are awarded based on availability, need, interest, and household income. If you feel you may qualify for a GMOM Sponsored Membership, please contact Nicole Arslan at
prior to filling out this membership form.
Are you a New Member or a Renewing Member?
For New Members: How did you hear about GMOM? If someone referred you to GMOM, please let us know their name!
Name on Facebook (if different from above)
Date of Birth
Address (please include city, state, and zip code)
Do you have, or are you expecting, Twins, Triplets, or Higher Order Multiples?
Fostering twins/triplets/higher order
Multiple's Names, genders, & birthday (mm/dd/yyyy). If expecting, please let us know gender(s) and due date.
Other children's names, genders, & birthdays (mm/dd/yyyy).
Photos taken at GMOM Sponsored Events of me or my children may be posted to the public GMOM Facebook page and GMOM Website for marketing purposes.
GMOM Membership Liability Waiver and Indemnification Clause: Be advised that in participating in any GMOM event you are aware of the risks involved, including the possibility of coming to contact persons that may increase the likelihood of illness (including but not limited to COVID-19), and these risks include serious injury or death. You specifically waive any claims against GMOM, any of its members, hosts, agents or officers for illness, damages, claims for injuries, reimbursement or loss of any kind. By selecting 'I agree' below, you agree that you knowingly and freely assume all such risks, both known and unknown, even if arising out the negligence of GMOM, its members, hosts, agents, and officers. You agree to assume full responsibility for you and your family, children, and guests for the utilization of any GMOM events or activities and shall indemnify GMOM for any and all claims made by your family, children, and guests against GMOM, their members, hosts, agents, and officers related to any GMOM activity.
Membership dues are $30 for the club year (club year runs Aug - July). Your membership is not valid until dues are paid. Membership Dues may be paid via Check, Venmo, or PayPal. Please indicate how you will be paying for your membership.
Check - Please make check out to GMOM and mail to Morgan Westerman at PO BOX 38729, Greensboro, NC 27438
Venmo - Please send to @Greensboro-MOM
PayPal - Memberships paid via PayPal are $31 and can be submitted thru this link:
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