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Greater New Haven Mothers of Twins (and More) Association
- Membership Form [2022 - 2023]
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 2022-2023 membership year.
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* Indicates required question
Are you a new or renewing member?
*
New
Renewing
If you are a renewing member, what year did you
first
join MOTA?
Your answer
Last Name:
*
Your answer
First Name:
*
Your answer
Address:
*
Your answer
City:
*
Your answer
Zip Code
*
Your answer
Phone Number
*
(xxx)xxx-xxxx
Your answer
Email address:
*
Your answer
Gender Identity:
Female
Male
Transgender
Non-binary/Non-conforming
Clear selection
Spouse/Partner Name:
Your answer
Due Date if Currently Pregnant:
MM
/
DD
/
YYYY
Facebook Name:
Your answer
Multiples:
*
Twins
Triplets
Other:
Child's Name:
Please fill information on your twins/triplets/etc. Sibling info is located further down the page.
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender Identity:
Female
Male
Transgender
Non-binary/Non-conforming
Clear selection
Child's Name
Please fill information on your twins/triplets/etc. Sibling info is located further down the page.
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender Identity:
Female
Male
Transgender
Non-binary/Non-conforming
Clear selection
Child's Name
Please fill information on your twins/triplets/etc. Sibling info is located further down the page.
Your answer
Gender Identity:
Female
Male
Transgender
Non-binary/Non-conforming
Clear selection
Date of Birth
MM
/
DD
/
YYYY
Siblings:
Please list name, DOB and gender identity
Your answer
Membership Dues and Payment
Dues for returning members are $25; Past Presidents are $15 (reduced this year!)
New members and/or expectant mothers pay
only
$15 for their first year of membership!
Dues for a member who joins after January 1st, 2023 will be reduced to $15.
Use this link to send dues via PayPal:
GNHMOTA 22-23 Dues (PayPal Link)
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.
*
New Member: $15
Returning Member: $25
Lifetime Member (20 years +): Free
Past President: $15
Required
How will you pay your membership dues?
*
PayPal
Cash/Check (I will bring to a meeting)
What is the name/email associated with your PayPal account?
*
Your answer
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:
Name
City
Phone Number
Facebook Name
May we share photos of you (and your children) in our Facebook group, newsletter, etc?
*
Yes
No
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:
Clothing Swap (October/April)
Fall Family Event
Holiday Family Event
Holiday Potluck (December)
Spring Family Event
Installation Dinner (June)
Sunshine/Outreach
Bylaw Revision Committe
Scholarship Committee
Finance Committee
What are you hoping to get out of being a member of GNHMOTA?
Your answer
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