PoCoMo Ridge Meadows Mothers of Multiples Club

Your Name	First Last	Birthday	Day, Month, Year
Spouse/Partner’s Name	First Last	Birthday	Day, Month, Year
Address	line 1 line 2 city province Postal Code	Phone No.	Please include area code
		E-mail	please enter twice to confirm
Children’s Names	One per line, please	Birthdays and Year	Day, Month, Year for each please
Please indicate if your twins are	Fraternal Boys Fraternal Girls Identical Boys Identical Girls Fraternal boy and girl
How will you be paying your membership fee ($35)?	Cash Cheque (Please make cheques made payable to PoCoMo Twins Club.)
How would you like to receive information about Club activities?	Phone E-mail	The club newsletter is available online and in printed form. Would you prefer to:	read the newsletter online have the newsletter mailed to me
In what club activity would you be willing to help out? (Please check one.)	Christmas Party Swap Meets Summer Picnic Meeting Set-up/Clean-up

Your $35 annual membership pays for costs incurred in sending out our monthly newsletter (Twin Talk) and helps defray the costs of hall rental, speakers, special club events and this website. You also become a member of the Northwest Association of Mothers of Twins (NWAMOTC) and receive their quarterly newsletter.

We are an informal group and welcome new parents, guardians, foster parents and expectant parents. Prospective members are entitled to all the membership privileges without payment of membership dues until after their babies are born.

If you are unable to attend the September meeting, please submit this form by clicking the Submit button below and mail your membership fee to:

Brenda Stewart
706 Carleton Drive
Port Moody, BC
V3H 3L2

NEW MEMBERS, please also complete the following:

New Members Profile

We would like to get to know our new members a little better and may include parts of your profile in our newsletter. However, we respect your right to privacy and understand if you do not wish to complete any part of this section.

What is the due date or birth date of your multiple babies?
When did you find out that you were having more than one baby?
What was your reaction?
What was your husband’s/your family’s reaction?
Please describe your pregnancy and delivery.
Did you have help when you got home?
How do you hope to benefit from joining a twins club?
What can we do for you?
Any other comments/suggestions?

THANK YOU!

Please review your responses and click:  or