Online Application
Chattanooga Area Mothers of Multiples Club
Chattanooga Area Mothers of Multiples Club
Online Application
Date:
First Name
Last Name:
Street:
City
State
Zip Code
Home Phone:
Email
Address:
Cell Phone/
Work Phone
Occupation:
Company:
Birthday:
Membership Type:
CAMOMC newsletters and updates are sent via email.  
Please check this box if you MUST receive your newsletters
via snail mail.  Only check this box if you DO NOT have email.
Information about your spouse/partner
Spouse's Name:
Spouse's Occupation
Spouse's Birthday:
Anniversary:
Information about your children
I am expecting:
Estimated Due Date:
Multiple Type Expected:
I have:
Length of Gestation:
Please List Multiples and Siblings:
Sex of
Child:
Child's Name
Child's Birthday
Sex of
Child:
Child's Name
Child's Birthday
Child's Name
Sex of
Child:
Child's Birthday
Child's Name
Sex of
Child:
Child's Birthday
Child's Name
Sex of
Child:
Child's Birthday
Sex of
Child:
Child's Name
Child's Birthday
Child's Name
Sex of
Child:
Child's Birthday
Do you have talent that you can share within the CAMOMC club? Do
you enjoy photography, writing, editing, or have great computer
skills? Do you enjoy reading or organizing and putting on parties and
events? Do you have experience in fund raising or accounting?
Please list three talents that you can share with the club:
Please select one or more area in which you might be interested in
volunteering:
Fundraising

Big Sister/Little Sister Program

Event Planning

Playdates

Community Outreach

Bereavement
 How did you hear about us?
RELEASE OF LIABILITY:  I understand that by typing my name below I am
agreeing to the following:  I understand that the Chattanooga Area
Mothers of Multiples Club (CAMOMC) as a whole and/or any of its officers
shall not be responsible for lost, damaged, or stolen items and/or property
of any kind.  
I also agree to not hold CAMOMC and/or any of its officers responsible for
any injury, accident, and/or accidental death to myself and/or any member
of my family that may result from my (and/or my family’s) participation in
any CAMOMC sponsored event, program, or event in which members of
CAMOMC are in attendance.
I understand that I am participating in any and all CAMOMC programs and
events with my own free will and agree to hold CAMOMC and/or its officers
harmless in any regard.
Please type your full legal name:
Please click on the "Join CAMOMC" button below to submit your
membership application. Please note that your membership isn't complete
until we receive your annual dues.
Your dues may be paid via paypal, at a meeting or you can email
Veronica for information on where to mail your dues. Once your dues
have been received, an invitation to join the CAMOMC Members Only
Group will be emailed to you and you will also receive NOMOTC members
only information.  Thank You and Welcome to CAMOMC!
The Chattanooga Area Mothers of Multiples Club can now accept
membership applications online.  Please note that this is a new service so
if you have problems, please contact Mindi.
...where the best things in life are multiplied