MCFAPA 2023 Membership

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In order to better track our Members, we are now using Google Foms to collect Member Data.

Member 1 Last Name *

Member 1 First Name *

Member 1 Email Address *

Member 1 Cell Phone *

Member 2 Name

Member 2 Email Address

Member 2 Cell Phone

Home Mailing Address *

Permission to Contact *

I give permission for MCFAPA to Email me

I give permission for MCFAPA to send text messages

I do not give MCFAPA permission to contact me

Required

Manatee County FAPA is a completely volunteer-run organization and involvement by Membership is crucial. Please select the ways that you are willing to serve this year. *

Board Member

Special Events (setup, breakdown, execution)

Fundraising

Member Recruitment

Donation Solicitation

Collection Drive Coordination

Other:

Required

Do you consider yourself a member of the Lakewood Ranch Community, whether or not you officially live within Lakewood Ranch? *

Yes

Other:

Household Composition- Biological Children *

Other:

Provide First Name, age and gender for each biological child

Household Composition- Foster Children *

Other:

Provide First Name, age and gender for each foster child

Household Composition- Adopted Children *

Other:

Provide First Name, age and gender for each adopted child

Foster Parents, current Licensing Agency:

Foster parents, please select all applicable for your placement profile:

Infants

Toddlers/Pre-School

Elementary School Age

Pre-Teens

Teens

Extended Foster Care

Foster Parents, please select your Level:

Level 1 (child-specific)

Level 2 (non-child specific)

Level 2: Enhanced Foster Care

Level 3: Safe Home for Victimes of Human Trafficking

Level 4: Therapeutic Foster Home

Level 5: Medical Foster Home

Clear selection

Adoptive Parents, please select all applicable:

Domestic, Foster

Domestic, Non Foster

International

Permanent Guardianship

Other:

Permanent Guardians, please let us know:

1. The entity that ordered the Custody

2. The date of the order

Membership Dues

Family Level Membership Dues for 2023 is $30 per Family. Once your Membership Application has been completed, you will be invoiced through PayPal for your Membership Dues. Dues may be paid through a PayPal Account or any major credit card. If you are unable to pay online, please email us at Info@ManateeCountyFAPA.com and we will coordinate to receive your payment via check.

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