APPLICATION
Please complete the form for review by our group administrators.

 
Member Information
 
(* = Required Information)
* First Name:
* Last Name:
Spouse/Partner First Name:
Spouse/Partner Last Name:
Address 1:
Address 2:
City:
State:
Zip Code:
* Email:
Home Phone:
   
Mobile Phone:
   
Work Phone:
   
* Password:
* Confirm Password:
 
Parenting Information
 
Child Information (Name,Birthday,Gender):
  1. Name:
  Month & year of birth:
       MaleFemale
  2. Name:
  Month & year of birth:
       MaleFemale
  3. Name:
  Month & year of birth:
       MaleFemale
  4. Name:
  Month & year of birth:
       MaleFemale
  5. Name:
  Month & year of birth:
       MaleFemale
  6. Name:
  Month & year of birth:
       MaleFemale
 
Personal Information
 
mvm would love to know a little more about you so that we can plan events/programs that suit your interests. Thanks!
 
* What is your relationship with MVM or to the child(ren) listed?
Mother   Father   Staff or Faculty   Other  
If other, please specify
Member Occupation
Please let us know if you have an interest or expertise in helping in any of the following areas. Checking the boxes does not bind you to volunteering. We may contact you in future or invite you to become a member of one of our volunteer committees.
Art and creative projects
Baking
Cooking
Field trips
Foreign language
Furniture repair
Materials making
Outdoor garden projects
Sewing
Special projects
Telephone calls
Other
If other, please indicate
 
 
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