Connect the Tots 2008/2009 Membership Form
  • Connect the Tots dues are $20.
  • Please make checks payable to "Katherine Brown c/o Connect The Tots".
  • Print and complete this form.

  • Mail the completed form and checks to:
    Kerry Giordano
    218 Haverhill Street
    Reading, MA  01867

Please check one:

___ I am a new member

___ I am renewing my membership

___ I am canceling my membership, please remove me from your mailing list.

 Please check one:

___ I want to be included in the membership directory

___ I DO NOT want to be included in the membership directory

 
Please all that apply:

___ I am interested in joining a playgroup

___ I want to help with Meals for Moms

___ I want to help with Open Play Date Hosting

___ I want to help with Event Hosting

 

Name: _________________________________________ Date:                                      

Address: _______________________________________

E-Mail Address: _________________________________

Phone: ______________   Spouse: __________________

Children (with ages and dates of birth): ______________

______________________________________________

Check if you would like to receive email reminders of upcoming CTT events  

* Your membership information is used solely for Connect the Tots purposes.