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
 
* Due Date:
      (If pregnant)
* 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

Number expecting (if pregnant):

 
Personal Information
 
ofmotc would love to know a little more about you so that we can plan events/programs that suit your interests. Thanks!
 
* Local Club Name:
* Local Club Code:
Are your multiples identical, fraternal, unknown?
* Mom's birthday (month & date required, year optional):
Occupation:
* Please check at least one OFMoTC standing committee you would be interested in joining:
Budget
Chaplain
Convention
Jewelry
Legislation & Resolutions
Mother of the Year
National Liason
Nominating
Printing & Publishing
Procedure/Parliamentarian
Publicity
Research
Scholarship
Twin Items, Other
Twin Items, T-shirts
Twinformation Editor
Club Market (Special Committee)
DVD/Librarian (Special Committee)
Philanthropic (Special Committee)
Recognition Report Revisions (Special Committee)
Twins Days (Special Committee)
Website (Special Committee)
By-Laws Revisions (Special Committee)
Please list any special certifications, training, talents, or skills you have that could benefit our group:
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Comments or questions:
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