Copy of Newcomers and Neighbors Sign Up Form

	A	B	C	D	E	F	G	H	I	J	K	L	M	N	O	P	Q	R	S	T	U	V	W	X	Y	Z	AA	AB	AC	AD	AE	AF	AG	AH	AI	AJ	AK	AL	AM	AN	AO	AP	AQ	AR	AS	AT	AU	AV	AW	AX	AY	AZ	BA	BB	BC	BD	BE	BF	BG	BH	BI	BJ	BK	BL	BM	BN	BO	BP	BQ	BR	BS
1	Timestamp	Your First Name	Your Last Name	Paid for 2012-2013	Notes	Our Groups	Has this new member been added to the appropriate Google Groups for the groups in which they expressed interest?	Printed or Electronic Membership Materials?	Has this new member been added to the appropriate Google Groups for their Communication Preferences?	Do you have any interests that weren't included in the list above?	Are You A New Member of Newcomers & Neighbors?	When did you move to Sewickley?	Where did you move from?	Recommendations	Anything else?	What is your Occupation?	What is your significant other's Occupation?	Street Address	City	State	ZIP Code	Primary Telephone Number	Secondary Telephone Number	E-Mail Address	How Should We Address Formal Invitations?	Can We Include You In Our Directories?	First Name Of Your Significant Other	Last Name Of Your Significant Other	Interests	Do You Have Children?	Child 1 First Name	Child 1 Last Name	Child 1 Birth Year	Child 1 Birth Month	Child 1 Birth Date	What School Does Child 1 Attend?	What School Does Child 2 Attend?	Child 2 First Name	Child 2 Last Name	Child 2 Birth Year	Child 2 Birth Month	Child 2 Birth Date	Child 3 First Name	Child 3 Last Name	Child 3 Birth Year	Child 3 Birth Month	Child 3 Birth Date	What School Does Child 3 Attend?	Child 4 First Name	Child 5 First Name	Child 4 Last Name	Child 5 Last Name	Child 4 Birth Year	Child 4 Birth Month	Child 4 Birth Date	What School Does Child 4 Attend?	Child 5 Birth Year	Child 5 Birth Month	Child 5 Birth Date	What School Does Child 5 Attend?	Child 6 First Name	Child 6 Last Name	Child 6 Birth Year	Child 6 Birth Month	Child 6 Birth Date	What School Does Child 6 Attend?	Do You Have A Second Child?	Do You Have A Third Child?	Do You Have A Fourth Child?	Do You Have A Fifth Child?	Do You Have A Sixth Child?

2	6/2/2012 14:44:27	Kati		Yes		Membership						2009	New York City			project management	attorney										Matt		Cooking, SCUBA, Travel	Yes	Libby			June	20			Heidi			November	1																									Yes	No
3		Courtney		Yes
4		Mary		Yes
5		Carol		Yes
6		Suzanne		Yes
7		Kelsey		Yes
8		Dorothy		Yes
9		Arleen		Yes
10		Catherine		Yes
11		Isabel		Yes
12		Andrea		Yes
13		Patricia		Yes
14		Shea		Yes		Book Club, Couples Night Out, Girls Night Out, Helping Hands, Membership, Directory, Newsletter, Serving Sewickley						May 2010	Moon Township			Advertising	Sales									Yes, go ahead and include my contact information in the online directory and in the print directory.	Jim		Architecture, Art, Biking, Bowling, Chautauqua, Cooking, Dining Out, Entertaining, Hiking, History, Home Design & Remodeling, Paddle Tennis, Painting, Penguins, Photography, Pirates, Reading, Skiing, Steelers, Swimming, Travel, Walking, Wine, Yoga, Pet Activities	No
15	6/13/2012 9:59:52	Tiffany				Book Club, Couples Night Out, Girls Night Out, Serving Sewickley						2007	Florida			Work from home	Mortgage Consultant									Yes, go ahead and include my contact information in the online directory and in the print directory.	Benjamin		Art, Biking, Camping, Cooking, Crafts, Enviornmental Awareness, Hiking, History, Kayaking, Outdoors, Painting, Playdates, Reading, Steelers, Travel, Volunteering, Walking, Wine, Yoga	Yes	Kaleb			March	2			Cole			March	14																									Yes	No
16	6/27/2012 16:22:35	Erika		Yes		Couples Night Out, Girls Night Out, Helping Hands, Newsletter, Serving Sewickley, Babies' Playgroup		E-Mail me electronic copies of the directory and newsletter	Yes			August 2009	NY, NY			Research Coordinator, Psychology	Management Consultant									Yes, go ahead and include my contact information in the online directory and in the print directory.	Oliver		Dining Out, Entertaining, Golf, Home Design & Remodeling, Running, Skiing, Travel, Walking, Water Skiing, Wine	No
17	6/29/2012 9:07:21	Martha		yes			Yes	Mail me a printed copy of the directory, but e-mail the newsletter	Yes		No, I'm an existing or former member, just re-registering	2010	Thornburg			attorney	golf professional									Yes, go ahead and include my contact information in the online directory and in the print directory.	RJ			Yes	Gemma			July	21			Royce			October	19																									Yes	No
18	7/9/2012 10:11:20	Meghan				Book Club, Couples Night Out, Girls Night Out, Helping Hands, Membership, Directory, Newsletter, Serving Sewickley, Treasurer, 1 & 2 Year Olds' Playgroup		E-Mail me electronic copies of the directory and newsletter	Yes		No, I'm an existing or former member, just re-registering	2008	Beaver County			Attorney	Attorney									Yes, go ahead and include my contact information in the online directory and in the print directory.	Tim		Cooking, Crafts, Dining Out, Entertaining, Fishing, Gardening, Home Design & Remodeling, Outdoors, Penguins, Pirates, Playdates, Reading, Running, Steelers, Swimming, Tennis, Travel, Volunteering, Walking, Wine, Yoga	Yes	Anne			October	23																																No
19	7/9/2012 10:16:56	Jeanne				Book Club, Couples Night Out, Girls Night Out, Helping Hands, Membership		E-Mail me electronic copies of the directory and newsletter	Yes		Yes, I'm a new member	Mid-February 2012	Switzerland													Yes, go ahead and include my contact information in the online directory and in the print directory.	Shannon		Cooking, Dining Out, Photography, Reading, Tennis, Theater, Travel, Volunteering, Walking, Wine, Yoga	No
20	7/9/2012 10:17:00	Jaime				Couples Night Out, Girls Night Out, Helping Hands, Membership, Babies' Playgroup, 1 & 2 Year Olds' Playgroup, 3 & 4 Year Olds' Playgroup		E-Mail me electronic copies of the directory and newsletter	Yes		No, I'm an existing or former member, just re-registering	September 2010	North Hills, Ohio and New York previously			Researcher	Physician									I'm OK having my information included in a printed directory, but don't make it available online.	Ramzi		Architecture, Cooking, Dining Out, Entertaining, Enviornmental Awareness, Home Design & Remodeling, Outdoors, Playdates, Running, Swimming, Volunteering, Walking, Wine	Yes	Maya			March	13			Owen			October	6																									Yes	No
21	7/9/2012 10:26:36	Jodie		Yes		Couples Night Out, Girls Night Out, Serving Sewickley, 3 & 4 Year Olds' Playgroup		E-Mail me electronic copies of the directory and newsletter	Yes	Small farms running	Yes, I'm a new member	6 years ago	New York, new york			Marketing/Event Consultant										Yes, go ahead and include my contact information in the online directory and in the print directory.	Bill		Art, Entertaining, Gardening, Golf, Tennis, Travel, Volunteering	Yes				January	1																																No
22	7/9/2012 10:30:23	Molly				Book Club, Couples Night Out, Helping Hands		E-Mail me electronic copies of the directory and newsletter	Yes	Pilates, dogs, boating, live music	No, I'm an existing or former member, just re-registering	January 2012	North Dakota			Pilates Instructor	Geoologist									Yes, go ahead and include my contact information in the online directory and in the print directory.	Alex		Biking, Cooking, Dining Out, Entertaining, Golf, Hiking, Kayaking, Outdoors, Paddle Tennis, Painting, Reading, Skiing, Steelers, Tennis, Walking, Wine, Yoga	No
23	7/9/2012 11:02:19	Arlene				Book Club, Couples Night Out, Girls Night Out, Helping Hands, Membership, Directory, Newsletter		E-Mail me electronic copies of the directory and newsletter	Yes	Boating	Yes, I'm a new member	may 17,2011	Asheville,NC		Love volunteering and planning party events too. Iam outgoing and love meeting new friends.	Travel Agent	IT and Supply Chain Director									Yes, go ahead and include my contact information in the online directory and in the print directory.	Scott		Art, Bowling, Dining Out, Entertaining, Golf, Hiking, History, Paddle Tennis, Penguins, Photography, Pirates, Reading, Running, Steelers, Theater, Travel, Volunteering, Walking, Wine	Yes	Dana			May	6			Lindsay			June	26																									Yes	No
24	12/29/2013 16:53:12	Taylor	Powell			Book Club		E-Mail me electronic copies of the directory and newsletter			Yes, I'm a new member							1	vi	va	22182	1	1	tp	TP	Yes, go ahead and include my contact information in the online directory and in the print directory.			Antiquing	No
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