Membership Update

Your Name:
Email:
Phone:
Birthday (month/day):
Address:
City State, Zip
If you are a LWR Resident, list Village and Neighboorhood. If you are not a LWR Resident please list your neighborhood.
Village
Neighborhood
Spouses Name
Children's Names Birth Date (mm/dd/yyyy) School Attending

Our group is run completely by volunteers. Please note that we request all members to contribute to the success of our group by volunteering annually in one form or another. Some of the ways you can help our group be successful are by taking on an executive position, volunteering at a special event or community service project, providing a sunshine meal to a fellow mom, for example.

Please check the box or boxes below to indicate some ways you may be able to help out:

Sunshine Meals

Community Service

Welcome Committee

Answer Questions from Other Moms

I, the undersigned, understand that my participation and the participation of any members of my family in any Lakewood Ranch Moms Group, Inc. activity or program is completely voluntary, and we hereby give permission for myself and my family to join in those activities and/or programs. My family shall hold harmless this Lakewood Ranch Moms Group, Inc. and any Lakewood Ranch Moms Group, Inc. volunteers for representatives, paid or unpaid, and/or the providers of any activity or program location and/or materials from any liability and/or responsibility for any accident, illness, or injury that occurs during or as a result of any function or program. I accept that the final responsibility for my safety and that of my family rests with me.

Initials: