Legacy Member Form

(Existing Members)

This form helps us update our records, align our community structure for 2026, and ensure everyone remains active and compliant.

First name *

Last name *

Email address *ensure it's inputted correctly. *

Primary phone number (no spaces or dashes) *

Select...

phone-prefix

Whatsapp phone number (if different from above)

Select...

whatsappnumber-prefix

City or municipality (GTA) *

How did you hear about Mamas Connect? (Meetup / Instagram / Facebook / TikTok / Referral) *

(Optional) If referred, please provide the first and last name of the member who referred you.

(Optional) How long have you been part of Mamas Connect? (This helps us understand our long-standing community.)

Which stage of motherhood best reflects your current season? (Select the one that feels most relevant right now.) Please note: Mamas Connect primarily supports moms parenting children in the early and middle years, while continuing to welcome moms who have grown with our community over time. *

What types of conversations or community spaces are you most interested in right now? (Select up to 3 — this helps us shape relevant community spaces.) *

Which community offerings would you be interested in hearing more about if/when available? (Select all that apply; not a commitment) *

Number of children *

(Optional) Age of children

What is your age range? This helps us understand who we serve, plan relevant programs, and strengthen funding applications. *

Are you a single parent? *

Do one or more of your children have a disability? *

Where did you spend most of your childhood? This helps us design culturally relevant programming and strengthens grant applications for Black maternal health and community wellness.

If you selected Other, please tell us which region. This helps us understand the cultural backgrounds represented in our community.

Anything you'd like us to know? Please use this field to provide details to responses selected as 'Other'.

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