Has your address changed for the 2020-2021 club year? *
Choose
Yes
No
What is your street address and number? *
Your answer
What is your city? *
Your answer
What is your state? *
Your answer
What is your zip code? *
Your answer
What is your cellphone #? *
Your answer
Do you have a Facebook account? *
Choose
Yes
No
If yes, what is the full name used on the account? (This helps us when approving members for our private FB pages)
Your answer
Are you currently expecting (singleton or multiples)? *
What is the birthdate of your multiples (or expected due date)? *
MM
/
DD
/
YYYY
What are the names and ages of all of your children? *
Your answer
Will your twins turn 10 during the 2020-2021 club year (August 1st, 2020-July 31st, 2021) *
On certain occasions, we might deliver a member-made meal to you and your family. Are there any food allergies or dietary restrictions we should know about? *
Your answer
Do you have any interest in the following possible playgroups? (choose as many as apply) *
Required
Are you a new or returning member? *
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