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Members Only
Member Interest Form

We have created a survey to help better network our members and hear some feedback about what members would like to see more of in ADCAN. We love if you could take a moment to fill it out. We hope to add these facts to the membership directory so members can know a little more about one another.

 

Name *
E-mail Address *
How long have you been a nanny? *
Address
Phone Number
Live In or Live Out?
Gender/Ages of the children you care for
Birth date
Birthplace
Are you are interested in being contacted about playgroups in your area?
Area
How did you learn about ADCAN?
Hobbies and Interest. Please check below and add here if there are others not listed that you would like to share.
  Horseback Riding
  Outlet Shopping
  Sporting events
  Rummage Sales
  Entertaining
  Comedy Clubs
  Movies
  Rollerblading
  Hiking
  Bike Riding
  Bowling
  Cooking
  Dining-Out
  Museums
  Volunteering
  Traveling
  Dancing
  Kayaking
  Sailing
  Exercise
  Concerts
  Tennis
  Skiing
  Golf
  Swimming
  Camping
  Crafts
What would you like to get out of this group?
What topics would you like to learn/hear more about from speakers?
What charity or public service events would you like to see us be involved in?
Any additional comments?

* Fields marked with an asterisk are required fields

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Thank you very much for your time!