Membership Form

Mansfield Mothers' Club

The Mansfield Mothers’ Club, in Mansfield, MA, aims to provide support for local parents. Our organization has more than 150 members. Our goals include providing a forum for relevant topics to mothers, engaging in activities that enrich the lives of our children, as well as performing service projects that benefit mothers and children. Please fill out this form, click the Liability Release, and make payment through PayPal to join the club. Thanks!
  • 1. Your Contact Information

  • 2. Children in Your Household

  • Please include your children's names and birthdates to help us set up playdates and plan age-appropriate activities for the club.
    (To add more children, please click the + sign next to the "Birth Date" text field.)
  • First NameLast NameBirth Date 
    Add a row
  • 4. More About You

  • Please check any items that may be of interest to you. All are optional and you are not obligated to be involved in the items you choose. Your name will be forwarded to the applicable coordinator who can provide you with more info.
  • 5. Liability Release

  • By clicking below I, the undersigned, understand that my participation and the participation of any members of my family in any Mansfield Mothers’ Club activity or program is completely voluntary, and hereby give permission for me and my family to join in those activities or programs. My family shall hold harmless this local Mansfield Mothers’ Club, the Mansfield Mothers’ Club Corporation, any Mansfield Mothers’ Club volunteers or representatives, paid or unpaid, and/or the providers of any activity or program 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 or program. I accept the final responsibility for my safety and the safety of my family rests with me.
  • 6. Purchase Your Household Membership

  • Price: $25.00
  • $2.00
  • $0.00
  • This field is for validation purposes and should be left unchanged.