Your partner's name, if applicable

Name(s) and age(s) of your child(ren)

Are you a New or Returning member?

How did you hear about Sewickley Area Mothers Club?

Our Sunshine Coordinator helps members during times of transition by setting up a meal train. Transitions can include a new baby, long-term illness or injury. If you anticipate needing a meal train this year, please provide approximate dates below.

Photo Release Do you give permission to take photographs and / or video of you? Do you grant full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group's aims?*

A quick legal requirement: We need you to read and accept this liability waiver for Mothers Club events. I understand that my participation and the participation of any members of my family in any Sewickley Area Mothers Club activity or event is completely voluntary, and we hereby give permission for me and my family to join in those activities or events. My family shall hold harmless the Sewickley Area Mothers Club and any of its volunteers or representatives, and/or the providers of any activity or event 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. * Important notice regarding COVID-19: Please note any interaction with the general public poses an elevated risk of being exposed to COVID-19 and we cannot guarantee that you will not be exposed while in attendance at any of our Sewickley Area Mothers Club events. We encourage you to follow all safety policies as well as local laws and restrictions. I accept that the final responsibility for my safety and that of my family rests with me.*