Join the Farmington Area Mothers' Club
Please fill in this form to join the Farmington Area Mothers' Club.
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Email *
First Name *
Last Name *
Phone Number *
Email address used for Facebook login (if different from above).
Address *
Street Address, City, State, Zip Code
Birthday *
MM
/
DD
Whom should we contact in case of emergency? Please give a name and phone number. *
Child #1 Name
First Last
Child #1 Birthdate
MM
/
DD
/
YYYY
Child #2 Name
First Last
Child #2 Birthdate
MM
/
DD
/
YYYY
Child #3 Name
First Last
Child #3 Birthdate
MM
/
DD
/
YYYY
Child #4 Name
First Last
Child #4 Birthdate
MM
/
DD
/
YYYY
Do you or your child have any food/contact allergies? *
If yes, please specify person and their specific allergy
How did you hear about FAMC? *
Bylaws
https://drive.google.com/open?id=1I1qqWU6yHjtCKEx7TtXWr3gl-t0NhVom
I agree to the Bylaws *
Required
Code of Conduct
https://drive.google.com/file/d/0By66FCjaOIlALVp1eWM1eUdCd1E/view?usp=sharing
I agree to follow the FAMC code of conduct. *
Required
Liability Release
https://docs.google.com/document/d/1yXvynVU_-GpV3lSouuuA7v0LJAMhye7TQ0gDOiBWdFg/edit?usp=sharing
I agree to the FAMC liability release. *
Required
FAMC Photo Release
Farmington Area Mothers' Club uses photographs of our members and events for publicity purposes. We promote our organization using our website, Facebook, brochures, and other types of promotional materials. When photographs are used for publicity purposes, children and parents are never identified by name. All photos used for publicity will be available to view upon request. In addition, members reserve the right to request that any photograph not be used for this publicity.
Can FAMC use your photograph for promotional purposes? *
Can FAMC use your child's/children's picture for promotional purposes? *
Membership Dues
2022-2023 Annual membership* dues are as follows:
~Now - December 31, 2022 and pay $35.
~Join January 1, 2023 - April 30, 2023 and pay $20.
*Please note: annual memberships run now - May 31 2023.

All dues are payable by cash, check, or via Paypal

How do you plan to pay your membership dues? *
Welcome to the FAMC!
~For cash or check payments - further payment information will be sent to you via email.
~For PayPal payment  - sign into your Paypal.com account, and select the "Send and Request" tab. You MUST Select "Send to friends and family in the US". If not we may have to charge you extra since paypal charges us a fee if you don't select "friends and family". Use the email address: famcmichigan@gmail.com.

A copy of this form will be sent to you via email. NOTE: it may end up in the "Spam" folder.  Our Membership Chair will be in contact with you shortly.  If you have any questions, please email us at membership@famcmi.org.
A copy of your responses will be emailed to the address you provided.
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