Greater New Haven Mothers of Twins (and More) Association - Membership Form [2024-2025]
Whether you're new or a returning member, we look forward to seeing you and are happy you decided to join! Please complete the following form to be considered a member for the 2024-2025 membership year.
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Are you a new or renewing member? *
If you are a renewing member, what year did you first join MOTA?
Last Name: *
First Name: *
Address: *
City: *
Zip Code *
Phone Number *
(xxx)xxx-xxxx
Email address: *
Gender Identity:
Clear selection
Spouse/Partner Name:
Due Date if Currently Pregnant:
MM
/
DD
/
YYYY
Facebook Name:
Multiples: *
Child's Name:
Please fill information on your twins/triplets/etc.  Sibling info is located further down the page.
Date of Birth
MM
/
DD
/
YYYY
Gender Identity:
Clear selection
Child's Name
Please fill information on your twins/triplets/etc.  Sibling info is located further down the page.
Date of Birth
MM
/
DD
/
YYYY
Gender Identity:
Clear selection
Child's Name
Please fill information on your twins/triplets/etc.  Sibling info is located further down the page.
Gender Identity:
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Siblings:
Please list name, DOB and gender identity
Membership Dues and Payment
Dues for returning members are $30; Past Presidents are $15.
New members and/or expectant mothers pay only $15 for their first year of membership!
Dues for a member who joins after January 1st, 2024 will be reduced to $15.

Use this link to send dues via PayPal: https://www.paypal.com/donate/?hosted_button_id=58B3MZUL7QK28
PayPal payments are sent to the following email address: newhavenmothersofmultiples@gmail.com
You do not need a PayPal account; you may use a credit card.
Please select the appropriate membership for you.  *
Required
How will you pay your membership dues? *
What is the name/email associated with your PayPal account? *
Permissions
We would like your permission to share your information to our members for the purpose of coordinating playdates, reaching out to other moms and other MOTA purposes.  
Please check off any information you will allow us to share:
May we share photos of you (and your children) in our Facebook group, newsletter, etc? *
Volunteers Needed
Our organization has a long history of fun family events throughout the year that would not be possible without the help of our members. Please consider volunteering some of your time for at least one activity. The more volunteers we have, the less work we all have to do and still have a great time!
Please check any activity that you may be interested in volunteering:
What are you hoping to get out of being a member of GNHMOTA? 
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