Membership Update

    Your Full 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
    Facebook Name
    Spouses Name
    Are you expecting, if so what is your due date:
    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

    Provide an article, recipe or craft for the newsletter

    Event Sponsors

    Answer Questions from Other Moms

    [mc4wp_checkbox] 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. [honeypot email]

    Initials: