If you would like to receive the newsletters or a list of parent matches please fill out and return this form to the above address.
All questions are optional and are asked only for purposes of better matching.
MUMS will not release any information without your permission, therefore we need this information before we can register your child in our matching network. This registration form is to be printed out and mailed or can be copied to a Word processing program, filled out and recopied to be sent through Email. You cannot fill in the blanks and Email directly -sorry. List Hospital and date. Please put me on or keep me on the MUMS newsletter mailing.