Exit

Question Title

* 1. - Your first and last name
- Your partner's first and last name, if applicable

Question Title

* 2. - Your email address
- Your partner's email address, if applicable

Question Title

* 3. - Your phone number
- Your partner's phone number, if applicable

Question Title

* 4. - Physical Address
- Mailing Address (if different)

Question Title

* 5. Can we contact you via the following methods? Check all that apply.

Question Title

* 6. Would you like to be added to our members only Facebook group?

Question Title

* 7. New/Expecting Parents: Would you like to receive a meal train after your babies come home?

If so, what two weeks work best for you? Are there any diet restrictions or food allergies we should know about? Answer the last two questions in the 'other' box.

Question Title

* 8. Would you like to participate in our playgroup pods?  They are grouped by age (pregnant to age 12) and meet on a monthly basis at various locations in the Eugene/Springfield area.  (Ex. Adventure Children's Museum in VRC, Parks/Playgrounds, Gymnastic facilities, etc.)  Expecting mothers usually connect virtually or meet up to have coffee/a meal.

Pod playdate events are posted in our private Facebook group and details are emailed out to their specific pods.  Choosing 'yes' will add you to the specific pod for your children's age group.

Question Title

* 9. Please list your childrens' names and birthdates/due date, including singleton children.

Question Title

* 10. How did you hear about us?

Is there anything we can help you with? (Ex. Stroller, Swings, Infant Carriers, Other Gear, Preemie Clothes/Clothes, Nursing Supplies, Feeding Supplies, Pregnancy Books For Multiples, etc.)

Any other comments, questions, or concerns?

T