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New Member Current Member
Fall Winter Spring
If current member, has any of your information changed?
YesNo
Member information:
Please complete this even if you are a current member:
Your Name:
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Your Birthday:
(no year necessary)
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Address 1:
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Address 2:
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City/State/Zip:
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E-mail:
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Spouse Name:
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Cell phone (opt):
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Children's Names
and Birthdates:
How long have you lived in
Montgomery/Cincinnati area?
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Membership Role:
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The success of our group relies on your involvement, enthusiasm and ideas. Becoming a member means you agree to:
- Take responsibility for my child's conduct and safety at all Montgomery Moms' activities.
- Prepare an appetizer or dessert for one monthly meeting.
- Prepare a meal for a fellow member in need (hardship, new baby).
- Serve on one committee assigned to me.
Please indicate preference below:
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Children's Activities Adult's Activities Meeting Helper
Fall Winter Spring
Are you willing to be a New Member Buddy? Yes No
Have FUN! Make FRIENDS! ENJOY!
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Comments:
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Security Code*  |
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