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Mothers & Others
Member Registration


1. Sign Up:
* Fill Out Registration Form

2. Payment:
* Pay Member Dues

3. Download Forms:
* General Information Packet
* Benefits and Responsibilities
* Childcare Pre-registration



Online Payments
Babysitting
* Pre-pay for Entire Year
* Pre-pay by Semester
* Pay as you go

Kids Play Day
* Kids Play Day Babysitting


Member Login

Username:
Password:


member registration

RETURNING MEMBERS:
If you are a returning member, please do not fill out the registration form again. If you would like to update any of your information, please use the fields below to login to the members only section. Find your name in the directory, and click on Edit. (If you have forgotten your username and/or password, please email Lana. Then, you may pay your dues online (A $2 convenience charge will be added to online payments), or you may mail a check made out to Mothers & Others for registration fees to: Vickie Holder, 1710 Lincoln Dr., Wylie, TX 75098 (Write reg. fees in memo line).

Username:
Password:


NEW MEMBERS:
If you are newly joining us, you may register in one of two ways: 1.) Register by Mail or 2.) Register Online.

1. Register by Mail - Print registration form, fill it out, and mail it with a check made out to Mothers & Others to: Vickie Holder, 1710 Lincoln Dr., Wylie, TX 75098 (Write reg. fees in memo line).

OR

2. Register Online
Please fill out the fields below to add your member information to our directory. Then pay online. A $2 convenience charge will be added to online payments.

LOGIN INFORMATION:
Email Address:
Password:

PROFILE INFORMATION:
First Name:
Last Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Intersection:

CHILDREN'S INFORMATION:
Children: Sex (M/F): Birthdate:
Sex (M/F): (mm/dd/yyyy)
Sex (M/F): (mm/dd/yyyy)
Sex (M/F): (mm/dd/yyyy)
Sex (M/F): (mm/dd/yyyy)
Sex (M/F): (mm/dd/yyyy)
Sex (M/F): (mm/dd/yyyy)

PREGNANT?
Are you currently pregnant?
If so, what is the due date? (mm/dd/yyyy)

FOR FUN:
Previously Lived:
Birthday
Hobbies:
Husband:
Anniversary Date

PRIVACY SETTINGS:
Receive Home Based Business Emails:
I am interested in receiving emails from Home Based Business owners about upcoming parties and specials.
Pictures on Members Only Website:
I give permission for pictures of me and/or my children to be posted on the members-only webpage.
Pictures on Public Website:
I give permission for pictures of me and/or my children to be posted on the public webpage.
Pictures in Newsletter:
I give permission for pictures of me and/or my children to be printed in the newsletter.
Be a Big Sister:
I am interested in being a Big Sister to new members.
*** No names or personal information will be posted with these pictures. ***


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