Membership Application & Renewal Form
• Confirmation and reciept will be sent to email address provided.
• Please email if you have any questions or concerns with this form -

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We are committed to reaching people whose identities reflect all communities throughout Minnesota and beyond.

If you are comfortable listing your race and pronouns, please do so here. (Check all that apply.)
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Want to stay in the know about upcoming trainings, free resources and more? In addition to early childhood information, what other program information would you like to receive from MACMH?
Are you currently receiving reflective supervision/consultation (RS/C)?
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Your dues support the advancement of professional development in infant and early childhood mental health/social-emotional development in Minnesota.
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Minnesota Association for Children's Mental Health | 651.644.7333