Families with Cambodian Children or FamCam

(formerly FKK)

APPLICATION FOR MEMBERSHIP

Parent Name(s)

Address

City/ State/ Zip

Home Phone

Person Email Cell Phone

Person Email Cell Phone

Information on each of your children ( please include all of your children)

Name
DOB
Date Joined family
Orphanage
Facilitating Agency
(City, Country)

Do you wish to be included in the FamCam directory? The directory is open to both adoptive & waiting families. Yes No

Do you wish to be on our email list to receive notice of late breaking events, etc? Yes No

Please contact Laurie Fenton at laurie@emilysbooks.com or 978-356-5186, if you are interested in becoming involved in FamCam. We have many volunteer opportunities available and we are always open to new ideas.

FamCam dues are paid on a calendar year basis and are due in Sept for the following year. Members receive the FamCam newsletter, a copy of the FamCam directory and updates about upcoming events.
Anyone who wants to pay via PAYPAL should email Deb Schwartz at dmerle@postmark.net
Make checks payable to Deb Schwartz only (if you wish to put FamCam on the memo line, please do, but Deb can't deposit checks made out to FamCam) for $16 ($20 international) per year.

Mail to:
Josh Dietrich
46168 Aisquith Terrace
Potomac Falls, VA 20165

famcam@dietrichs.net

Ideas for newsletter, area of interest or comments: