Omaha Parents of Multiples Club
P.O. Box 241574
Omaha, NE 68124-5574
(402) 978-4800

 

New Membership Application

Last Name:                                                    Date:                       
First Names:                          &                         
Address:                                                                         Telephone:                          
City/State/Zip+4:                                                                        
E-Mail:                                                         
Do you wish for your e-mail address to be added to the club directory? Yes          No       
Please Check: Twins         Triplets          Quads         Quints       
Please list all of your children and their birthdays or due date:
                                                                                                                                                      
                                                                                                                                                      
                                                                                                                                                      
                                                                                                                                                      
                                                                                                                                                      
As a new member, I am interested in being contacted by someone from the Welcoming committee. Yes         No       
Occasionally opportunities develop for acting work. If you are interested in having your children included on the list for possible acting work, please sign:                                               
Many OPMC members work merchandising at the Omaha Qwest Center as one fundraiser for the club. Would you be willing to work at least one event this year? Yes         No       
(You will be contacted by a member of the Ways & Means committee with more information)
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The Omaha Parents of Multiples Club is a social/support organization whose members are parents of multiples (twins, triplets, quads, or quints). Club dues are $30.00 annually. Our club year runs August through August. If you are a new member joining after January 1st of the club year, dues are prorated to $17.00. EVERYONE renews in August of each year. Applications and dues can be mailed to the P.O. box or brought to a monthly meeting. Monthly club meetings are held on the second Tuesday of each month at the Southwest Omaha Church of Christ located at 2600 South 124th St. (124th & Center) beginning at 7:00 PM, with the exception of May, June, July, and December when special events are held in lieu of the meetings.

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