Mothers and Fathers For Equal Rights

Texas Fathers Rights Membership Application

Complete each section, sign, then submit your membership record.

After submission, your member profile is prepared for portal access once payment is confirmed.

Office hours: call for current availability.

Member Information

Membership Number Membership Date

Membership and Payment

Selected membership Annual Regular Membership $400 / year Full access for one individual with complete member privileges.

Payment method Zelle Manual review Payment method is carried forward from checkout and can only be changed by staff.

Membership plan and payment method are locked from checkout. Staff can adjust them if needed.

Entered Date Are you currently a member? * Member ID Amount Paid Amount Owed Date of Birth First Name * Middle Name Last Name * Suffix Cell Phone * Home Phone Email * Preferred Contact Method Spouse name if Family Membership applies

Address and Other Parent

Street Address * Apt City * State * Zip * Other Parent Information Name Other Parent First Name * Other Parent Middle Name Other Parent Last Name * Other Parent Street Address Other Parent Apt Other Parent City Other Parent State Other Parent Zip

Employment and Court Information

Employment Type of Work or Title Main Work Phone Direct Work Phone Represented by an Attorney? *

Has anything been filed in court? *

Yes No

If yes, what county and state? Case Status

Child support ordered? *

Yes No

Cause No Court Number

Is the Attorney General involved? *

Yes No

If yes, OAG Number

Children Information For This Case

County and state where children live

Who do the children primarily live with?

Me Other Parent Someone Else

Children list up to 4

First, middle, last, suffix, gender, and date of birth

Volunteering

Application Certification

By continuing, you confirm the information you provide is accurate and that you are requesting membership support and member services from Fathers For Equal Rights.

By checking the box below and typing your full legal name, you agree that this is a binding contract between you and Fathers for Equal Rights Inc. You authorize Fathers for Equal Rights Inc. to charge and retain the membership fee. All membership fees are earned upon receipt and are nonrefundable except where required by applicable law or a written agreement signed by Fathers For Equal Rights. You agree that your electronic signature is intended to be legally binding and enforceable under applicable law, including the Texas Uniform Electronic Transactions Act. You acknowledge you had the opportunity to review this agreement before signing. Texas law governs this agreement, and unless otherwise required by law, venue is Dallas County, Texas.

That the name used on this application and contract is my correct legal name, and that the address on this application is my correct address.

I understand this application is submitted electronically and reviewed after payment confirmation.

I understand membership fees cover one year of membership support and member services and are non-refundable, except where required by applicable law or a written agreement signed by Fathers For Equal Rights.

I understand submitting this form does not create an attorney-client relationship.

I authorize Fathers For Equal Rights to contact me using the information provided above.

I will not hold Fathers and Mothers for Equal Rights, its members, Board of Directors, employees, or consultants liable for the outcome of any court action I pursue.

I agree this is a contract, I have read and understood it, and payment is non-refundable after signature except where required by law. * I certify that the information in this application is true and correct. * I accept the membership terms and non-refundable payment policy. * I consent to conduct this transaction electronically and to use electronic signature and records under Texas law. *

Digital Signature *

Tap to fill your legal name, or type it exactly as shown on this application.

Finger Signature

Use your finger, mouse, or trackpad to sign. This completes the electronic signature step.

Selected plan: Basic Membership — $400

Your application details stay on this device until the confirmation page is shown.

Member Experience

After your application is saved, leave a quick review so staff can continue improving the member experience.

“Fathers For Equal Rights is doing an amazing job! Y'all keep up the good work!”

— Jonathan C., Dallas, TX

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Office hours: call for current availability.

Texas Fathers Rights Membership Application

Member Information

Address and Other Parent

Employment and Court Information

Case Details

Children Information For This Case

Volunteering

Application Certification

Member Experience

Help Us Improve