Qualifications for Membership: Mom of a U.S. Marine or Recruit

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Today's Date * Select Date
Are you the Mom of a Recruit or graduated Marine?
(or grandmother) *		MOM of a RECRUIT in, or going in to,
     boot camp
MOM of a Graduated Marine
Grandma of a Recruit or Graduated Marine
Your E-mail Address: *
Your REAL First Name - as you would like to be called *
Example: If you're Catherine, you may prefer to be called "Cathy".
Your FULL Last Name. We will NOT share or publish your last name.*
Your City and State * Don't forget to include BOTH, please.
Your MARINE/RECRUIT: Male or Female? * MALE
FEMALE
FIRST NAME of your Marine/Recruit - as you would like him to be called.* Example: Robert might be known as Bobby. *

*First 3 letters of your Marine/Recruits LAST Name.
 We do NOT share/publish Marines last name or
initials. This information is for our office use only.
We need the first 3 initials of your Marine/Recruit's
last name because 1) some Marines have different
last names than Mom, and 2) we have MULTIPLE
Marines with the same first name and same last
name initial.
MONTH & YEAR your Marine or Recruit entered
BOOT CAMP * If your Recruit is in Delayed Entry, please type
Delayed Entry in the field.
If GRADUATED from boot camp, your Marines
current rank.Example: LCpl, PFC
Your graduated Marines general field of training.
Example: Intel, Recon, Communications, Gunner...
Present, general geographical location of your Recruit
or Marine, in training OR serving * Example:
Afghanistan, Asia-Pacific, California, N. Carolina,
Pendleton, LeJune... *
*eMail Address AGREEMENT: Our purpose is to network MOMS of MARINES via
EMAIL contact; therefore I acknowledge by checking this box and submitting this
form that my email address will be privately shared with our membership when we
introduce you by email to our membership group, and through other group emails
to our membership. I acknowledge that by sharing my email address I will enable
members not only to welcome me, but to extend to me on-going encouragement
and support, and I to them. I acknowledge by checking this box and submitting
this form that I am expected to protect members email addresses as they are
expected to protect mine; therefore I agree that I will NOT send forwards or any
emails UNrelated to military news / updates and emotional, mental, spiritual
support, encouragement, and helpful information.
NAME ACKNOWLEDGEMENT: By checking either of the options in this field, I
acknowledge that my first name and last INITIAL (up to 3-4 letters, if needed
to distinguish between like-named members ) will be listed on our Membership
by State page of our web site. Many members names on that page are LINKED
to their email address for ease of our membership to locate members' email
addresses and for members and potential members to connect with those in her
own state. Linked names appear in WHITE on that page. View Membership by
State page. *Do you want us to LINK your email address to your
name listed on our Membership by State page?		 Yes
No
*AGE ACKNOWLEDGE & INTEGRITY AGREEMENT: By checking this box and
submitting this form, I acknowledge that I am over 18 years of age and the
mom (or grandma), of a U.S. Marine/Recruit. I agree to treat ALL members
with integrity, graciousness, courtesy, kindness, respect, and to refrain from
any and all immoral, unethical, ungodly speech in my correspondence with
others on and thru this network organization email and our official Facebook page.
*LIABLE AGREEMENT: By checking this box and submitting this form, I agree
that I (and/or any/all of my associations, representative, et al) will in no way,
under any circumstance, hold the M.O.M.S. organization, her staff, her sites,
her sub-sites, her affiliations, et al, liable for any cause whatsoever relating directly
or indirectly to M.O.M.S., her staff, her sites, her sub-sites, her affiliations, et al.
I acknowledge that all information I have entered herein is truth.

*FAITH-BASED ACKNOWLEDGEMENT: By checking this box and submitting
this form, I acknowledge that M.O.M.S. is a faith-based, Bible-rooted support
network for ALL Moms of US Marines & Marine Recruits without discrimination
of race, religion, or other, et al, with exception to being the legitimate mom of a
US Marine or Marine Recruit. (Strict exception: Marines/Recruits withOUT a
mom in his/her life may be represented by the immediate, adult, female,
family member responsible for the care of the Marine/Recruit , i.e. grandma
or aunt.) WHILE WE APPRECIATE MARINE WIFES, this site is dedicated
and restricted to MOMS.

*We offer our members a FREE Photo/Info page honoring your Marine/Recruit.
Do you want us to create a photo/ info page of your Marine/Recruit on our site?
 View example		 Yes
No
If yes, you may upload a photo now through this 'browse
and attach' field, or send photo(s) to us directly by email
at a later date, as often as you wish.

Anything else you would like to share with us today?

WELCOME TO M.O.M.S.! You'll find that our membership
is highly caring, encouraging, supportive, praying, PROUD
MOMS OF US MARINES & RECRUITS!

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NOTE: AS A MEMBER OF M.O.M.S.
you will be automatically subscribed to The Sara Ministry's
weekly e-Inspirations by email.

IF YOU HAVE PROBLEMS WITH THIS FORM, QUESTIONS OR CONERNS,
please email founder, Sr. Chaplain Jen Miller, CFMI