ConvMbrReg - Multiples of America

HOME
FIND A CLUB
MEMBERSHIP
ENDOWMENT
SCHOLARSHIP
MULTIPLES
EVENTS

HOME
FIND A CLUB
MEMBERSHIP
ENDOWMENT
SCHOLARSHIP
MULTIPLES
EVENTS

Members Only Login

2023 CONVENTION REGISTRATION - MEMBERS/AFFILIATES

Registration Instructions

Member/Affiliate Registration Rate – $220 per person. All meals including the Farewell Party are included in your Member Registration.
Registrations received after June 10, 2023, will incur a $25 late fee. No registrations will be accepted after June 30, 2023.
Complete the Registration Form below. Do not forget to include your guest(s) information, choose your meal option, and your workshops.
Click on Proceed to Registration, Guest and Guest Meal Add Ons. This is where you will pay your registration, your guest fees, and guest meal add ons. Guest meals are not included in registration. You must add any Guest meal options.
Once you have made all of your add on choices, you will click on the PayPal link to proceed to payment.
Your registration is not confirmed until your payment is received.
Once we receive your registration and payment, you will receive a final confirmation by email. You will receive your Welcome Package and Check In information in early July
If you have any changes or updates to your registration after processing your payment and receiving your confirmation, you must do so in writing to the Executive Office at info@multiplesofamerica.org.

Name *

First

Last

Street Address *

City *

State *

Zip *

Email *

Phone *

Check All That Apply *

I am a Member of a Local Club.
I am an Affiliate Member.
I am a First-Time Attendee.
I am a Voting Delegate for my Member Club.
I am an Alternate Delegate for my Member Club.

Full Club Name (Affiiliates just enter AFFILIATE) *

WORKSHOP RESERVATIONS - Friday, July 28 - 2:00PM - 3:00PM (Choose One): *

"Get Outta My Dreams, Get Into My...Kitchen?": Knife Skills by Andrew Simonich
"Running Down a Dream": Leadership by Debby Kerr-Henry
I do not plan to attend these workshops.

WORKSHOP RESERVATIONS - Friday, July 28 - 3:15PM - 4:15PM (Choose One): *

"This is What Dreams are Made Of": Multiple Panel Featuring Several Sets of Multiples
"I Have a Dream": Self-Care by Dr. Dee Carpenter
I do not plan to attend these workshops.

BOXED LUNCH MEAL CHOICE - Saturday, July 29, 2023 - All Boxed Lunches come with whole fruit, chips, and a dessert. (You will purchase your Guest Meals on the following page.) *

Turkey Bacon and Avocado BLT Wrap
Portabella with Roasted Peppers, Zucchini, Fresh Mozzarella, and Balsamic Glaze on Focaccia Bread
Italian Submarine Sandwich – Layers of Salami, Mortadella, Ham, Soppressata, Provolone, and Red Roasted Peppers
I will not need a boxed lunch.

GUEST NAMES (Guests can not be members of a club affiliated with Multiples of America.)

SPECIAL DIETARY RESTRICTIONS/ALLERGIES (include for you and your guests, if applicable):

Want to Volunteer? We need Convention Assistants. Check all that apply.

Breakfast Greeters
Welcome Table Assistants
Kickback Meetups
Raffle Assistants
Boxed Lunch Moderators
Assist Where Needed

Others Ways to Volunteer - Convention Appointments (Saturday Only). Check all that apply.

Page
Timekeeper
Teller
Minutes Approval Committee

I would like to be included in the 2023 Convention Attendee List distributed at the close of the Convention to all attendees. (name, address, phone, and email address). (copy) *

PHOTO RELEASE - By checking YES, you acknowledge that you, as a Convention Attendee, may be photographed and/or video recorded by a Multiples of America representative during Convention Events, including but not limited to: Welcome Gathering, Opening Luncheon, Business Sessions, Networking Luncheon, Workshops, Moms Mall, Saturday Night Event. Such photographs may be used in Multiple of America publications, including, but not limited to: Multiple Connections, Club Connections, Your Multiples and You, Multiples of America's website, and social media platforms, such as Facebook and Instagram. This constitutes your authorization for use of any photographs/ videos without any further release required. Please note, there will be no photographs taken during the Memorial Service. *

COVID DISCLAIMER - By checking YES, you agree that by purchasing a registration for this event, you understand and expressly acknowledge that an inherent risk of exposure to COVID-19 exists in any public place where people are present. In attending the event, you and any guests voluntarily assume all risks related to exposure to COVID-19, and waive, release, and discharge Multiples of America (aka The National Organization of Mothers of Twins Clubs, Inc.); or any of its directors, employees, vendors, speakers, or volunteers from any and all liability under any theory, whether in negligence or otherwise, for any illness or injury. You also agree not to attend any portion of this event if you are having symptoms of any kind or running a fever and that Multiples of America cannot refund any part of your registration due to illness, Covid-related or otherwise. *

Trusted Source for Twins and Multiples Since 1960

MEMBERS ONLY LOG IN

Multiples of America

Executive Office
2000 Mallory Lane
Suite 130-600
Franklin, TN 37067-8231
Email: info@MultiplesofAmerica.org

Username

Password

Remember Me