JOIN OR RENEW ONLINE NOW!

Please enter your information in the form below. When the form is complete, click the 'Submit' button. Your information will be sent to our organization, and you'll be taken to a page to make your payment online via PayPal.

Membership Form

(Membership Year Runs July 1 - June 30)


Dues for the year are $25. Membership costs are not tax-deductible.
New Members Please Note: If you join after March 1, your membership will run through June 30 of the following year.

(If renewing, please indicate so, give your name, and complete only the information that has changed since your last renewal).
PARENT(S) NAME(S):
Renewal:       New Member:
Address:
Phone:       Email:

CHILDREN (please include birth children and non-China adoptees as well):
(1) Child's First Name:     Last Name:     Sex:
Year Born:      Adoption Date:      Agency:
Town:      Province:
Country:      Orphanage:

(2) Child's First Name:     Last Name:     Sex:
Year Born:      Adoption Date:      Agency:
Town:      Province:
Country:      Orphanage:

(3) Child's First Name:     Last Name:     Sex:
Year Born:      Adoption Date:      Agency:
Town:      Province:
Country:      Orphanage:

(4) Child's First Name:     Last Name:     Sex:
Year Born:      Adoption Date:      Agency:
Town:      Province:
Country:      Orphanage:

(5) Child's First Name:     Last Name:     Sex:
Year Born:      Adoption Date:      Agency:
Town:      Province:
Country:      Orphanage:

(6) Child's First Name:     Last Name:     Sex:
Year Born:      Adoption Date:      Agency:
Town:      Province:
Country:      Orphanage:

FCC-DV is completely volunteer-run and your help is greatly needed! Please consider how you can get involved:

I have professional experience with the following: I would like to help with the following committee(s):
-Legal
-Insurance
-Financial Planning
-Grant Writing
-Fundraising
OTHER:
-Membership
-Directory
-Fundraising
-Publicity
-Newsletter
-Arts & Crafts
-Workshops
-As They Grow
-Playgroups
-Waiting Families
-Language & Culture
-Chinese New Year
-Dragon Festival
-Harvest Moon Festival
-Adoption Awareness

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