RWCMC - Membership Form

If you have trouble submitting this form, please print the form, complete it, and mail it to
"Membership Coordinator
Redwood City Mothers Club
PO Box 134
Redwood City, CA 94064-0134"
To pay dues online via Paypal, you must click "Go to Payment".
The correct dues are calculated on the next screen.

^*- indicates a required field

First Name:	^*
Last Name:	^*
Street Number:	,^* Street: ^*
City:	,^* State: ^*
Zip Code:	^*
Email:	^*
Phone:	^*
Occupation:

Employment Status - Please check all that apply:
	Not Working	Part-time
	Work Outside Home	Full-time
	Work From Home

Partner's Name:
Elementary School District: (Click here for more info.)
School District - Other (if not in list above):

Children's Names and Birthdays (due date if pregnant): Please enter birthdates as MM/DD/YYYY or MM/YYYY or leave it blank.		Children's Gender:
1. Name:	& Birthday:		male	female
2. Name:	& Birthday:		male	female
3. Name:	& Birthday:		male	female
4. Name:	& Birthday:		male	female
5. Name:	& Birthday:		male	female
6. Name:	& Birthday:		male	female
7. Name:	& Birthday:		male	female
8. Name:	& Birthday:		male	female

Do you have any community affiliations, connections, groups of which you are a member which may be relevant/helpful to the club? (Please list below)

How did you find out about the RWCMC?

Which club activities would you like to participate in? Please check all that apply:
	Playgroups	Mom's Night Out
	Book Club	Meals to Moms
	Children's Excursions	Neighborhood Potlucks
	Scrapbook Night	Babysitting Co-op
		Game Night
Other interest (please specify):

The Redwood City Mothers Club is run by the volunteer efforts of its members. Each member is expected to contribute at least 2 hours per year. Below is a list of volunteer opportunities. Please check those areas in which you would be interested in volunteering:
	Event Planning	Leadership/Mgmt.
	Fundraising	General Meetings, Parent Seminars, Parties
	Website Mgmt.	Newsletter
Please choose how you would like to pay our membership fee ($35 annually prorated by month):
	Paypal	Mail-in Check
	Gift	Scholarship
	Gift Reference:
If you join today, your membership dues will be $ 11.67. Click here for further explanation of our membership fee.
If you have any questions about your application, please contact registration@rwcmc.org

By-Laws Acknowledgement

Please click below to read the club by-laws and check the By-Laws and Release of Liability Form. A copy of the forms will be sent with the welcome letter:
By-Laws
By-Laws and Release of Liability Form
* I hereby acknowledge that I have read, understand, and will adhere
to the Redwood City Mothers Club Bylaws and the Release of Liability Statement, and therefore will be responsible for the safety and behavior of my family and guests at all Club functions.

Privacy Notice

Please Note: The information you provide to the club will be made available to Board members for planning purposes, and to the general club membership through:

rosters via our password protected web site,
new member introductions,
neighborhood connection activities,
and other similar purposes.

You may select the level of information you'd like to share with the general membership.

	Level One: Please share only my full name, street name (no street number), children's gender, children's birthdays, and email address
	Level Two: Please do NOT share any of my information with the General Membership (The Board must have access to this data for planning purposes).