Join Now (ManualForm)

Joining Parent Talk couldn’t be easier. It takes only a few moments to complete our membership form online. And of course, if you have any questions, please don’t hesitate to contact our Membership Chair at membership@parenttalk.org

We are so glad you’ve decided to join Parent Talk!

Your membership will be active for one year from your membership date (date payment is received). After submitting this form, you will be able to pay online via Paypal. The membership fee is non-refundable. Confidential scholarships are available. Please contact president@parenttalk.info for more information.


I am renewing my membership.

First Name*:
Last Name*:
Partner First Name:
Partner Last Name:
Street*:
City*:
State*:
Zip*:
Phone*:
Email*:

 

Child 1 First Name: Birthdate: (MM/DD/YYYY)
Child 2 First Name: Birthdate:
Child 3 First Name: Birthdate:
Child 4 First Name: Birthdate:
Child 5 First Name: Birthdate:

Check if any of the above children are twins, triplets, etc.

How did you hear about Parent Talk:
Please provide additional details regarding how you heard about Parent Talk (e.g. friend’s name or newspaper name).

Why did you decide to join Parent Talk?

I am interested in joining a playgroup.
Please provide any information that will assist us in placing you in a play group (i.e. which child/children, new moms, dads, nannies, Saturdays).

Please select all the days that are NOT good for playgroup.
To select multiple items, hold the Ctrl key down while making your selection:

Please select any special skills you have.
To select multiple items, hold the Ctrl key down while making your selection:

Would you like your name and contact information to be included in the Parent Talk directory?
Yes
No

Would you like to be included on email communications from Parent Talk?
Yes
No

Parent Talk offers members a number of social, support, and athletic groups. Please let us know if you are interested in joining or finding out more about the following:
To select multiple items, hold the Ctrl key down while making your selection.

Parent Talk offers members a number of social, support, and athletic group. Please let us know if you are interested in joining or finding out more about the following:
To select multiple items, hold the Ctrl key down while making your selection.

Volunteering with Parent Talk is a great way to meet new people and give back to your community. In which area(s) below might you be interested in volunteering?
To select multiple items, hold the Ctrl key down while making your selection.

One easy way to get involved in Parent Talk and meet many other local parents is through volunteering. We encourage each  Parent Talk Member to volunteer! Pledging even a few hours of their time helps the organization continue the tradition of offering great programming, events and support for local families. We’ll keep you up to date on volunteer opportunities and all you have to do is select an opportunity (or two!) that appeals to you.
Yes! I’m interested in volunteering!

Know someone else who might be interested in Parent Talk?
Please provide their name and email address, and we would be happy to contact them:

You did it! Many thanks for your time and thoughts.

Please read the following paragraph and then click “Join Now” to complete the membership process.

In consideration of myself or my child(ren) or participating in Parent Talk events, I agree to assume all risk and hereby waive and release Parent Talk, Inc. and its officers, directors, employees and agents (collectively “Parent Talk”) from any and all claims for injury, damage or loss to the person or property of myself/my child(ren). This express waiver and release shall remain in effect as long as and whenever I/my child(ren) participate(s) in any Parent Talk events. In further consideration of my/my child(ren)’s participation in Parent Talk events, I hereby grant Parent Talk (i) permission to take photographs of me and my child(ren) at events throughout the year, and (ii) the right to use such photographs in all forms of media (including print and electronic publishing via the Internet) for informational and promotional purposes only.

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