Newton Mothers' Forum

Membership Form 2007-2008

Please print and return this Membership Form with a check, payable to the Newton Mothers' Forum, to Melissa Hanenberger, 56 Valentine St., West Newton, MA 02465.

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I'm interested in participating in the following activities:
____ Book Club
____ Walking Club or Exercise Club (circle)
____ Meals for New Moms (name goes on a list of people willing to make a meal for a member in need)
____ Welcoming New Members (willing to call a new member and help orient her to the NMF and/or to the area)
____ Millionaire Moms Club
____ Member Business Listing (I own/run my own business and would like my information to appear in the annual listing. Please provide your business name, address, phone, e-mail and a short description on the back of this form.)

I'd like to help with:
____ Children's Activities
____ Adult Activities
____ Community Outreach Projects (reading at Head Start preschools, food and gift drives, volunteer opportunities)
____ Fundraising/Sponsorships/Advertising
____ Public Relations/Marketing
____ Publications (Children's Booklist, Resource Directory)
____ Other - please specify

Playgroups Information:
____ I'd like to join a playgroup for my child(ren). Please list names and birthdates:

____ I'm in the following playgroup(s) and plan to continue next year (list day/time and child's name):

(Optional) The information you provide below will appear in the Membership Directory and is included there for private purposes only, to facilitate communication among members.

Skills/Hobbies/Interests:

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Current Occupation/Place of Work:

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Former Occupation(s):

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Spouse or Partner's Occupation/Place of Work:

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School/Preschool(s):

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Affiliations (religious, other):

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On behalf of myself and my child/children, I hereby absolve The Newton Mothers' Forum, Inc. (NMF), including its officials and representatives, from any and all liability, loss, damage, costs, claims and/or causes of action, including but not limited to all bodily injuries and property damage arising out of participation in any program, activity or event sponsored by the NMF. I recognize that the NMF is a nonprofit organization and therefore this waiver is necessary to enable the organization to conduct its activities.