Please
print, complete and mail this form, along with your membership fee of $15 to:
Membership/Renewal
Information Update
All membership renewals are due in August, as our
membership year concurs with DMFPA fiscal year.
How did you hear about
DMFPA?_____________________________________________________________________________
Last name:_______________________________________________ First
name:_______________________________________
Spouse’s/Partner’s (S/P)
last name:___________________________ S/P
first name:____________________________________
Address_________________________________________________________________________________________________
City:____________________________________________________ State:___________________________________________
Zip:_____________________________________________________ Home
phone:_____________________________________
Work phone:_____________________________________________ S/P
work phone:__________________________________
Cell phone:_______________________________________________ S/P
cell phone:____________________________________
e-mail 1:_________________________________________________ Whose
address?__________________________________
e-mail 2:_________________________________________________ Whose address?__________________________________
e-mail 3:_________________________________________________ Whose
address?__________________________________
Licensing Agency__________________________________________________________________________________________
DMFPA operates solely by our members’ generous volunteer efforts. Please tell us which volunteer activities
interest you.
________ Community advocacy and education ________ Recruiting
________ Special events (i.e. Christmas party,
picnics, garage sale) ________ Mentoring
________ Fund raising ________ Board of Directors
________ Other:___________________________________________________________________________________________
________________________________________________________________________________________________
Do
you have any special skills, training, knowledge or expertise you could share
with other foster parents in the form of a
presentation
at a DMFPA meeting? (If yes, please
elaborate.)______________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________