Membership/Renewal Form - Brisbane Multiple Birth Association (Southside) Inc

Please select your membership type*

New Membership
Membership Renewal

Membership Year runs from 1st April 2021 to 31st March 2022

Parent/Guardian 1 Name*

First Last

Parent/Guardian 1 Phone*

Parent/Guardian 1 Email

Enter Email Confirm Email

Club Newsletters, event information & invitations, club discounts etc. will be emailed to this email address.

Parent/Guardian 2 Name

First Last

Parent/Guardian 2 Phone

Parent/Guardian 2 Email

Enter Email Confirm Email

Club Newsletters, event information & invitations, club discounts etc. will be emailed to this email address.

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Billing Address*

Same as Home Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are your Multiples born already or are you expecting multiple ?*

Expecting Multiples
Already loving being a parent to Multiples

Expecting Multiples

I'm expecting ?*

What is your Due Date ?

Do you have other Children ?*

Children's Details

The next questions we ask for your children's details. Please enter each child's details individually, you can enter up to 5 children, if you have more then 5 children please email membership@bmbasouthside.org.au with any other children's details. Please make sure you enter both your multiples and single birth children's details, siblings are always included in all our club events.

How many children do you have ?

Child 1 Name

First Last

Child 1 Gender

Child 1 Date of Birth

Is child 1 a multiple ?

Which category of Multiples is Child 1 ?

Child 2 Name

First Last

Child 2 Gender

Child 2 Date of Birth

Is child 2 a multiple ?

Which category of Multiples is Child 2 ?

Child 3 Name

First Last

Child 3 Gender

Child 3 Date of Birth

Is child 3 a multiple ?

Which category of Multiples is Child 3?

Child 4 Name

First Last

Child 4 Gender

Child 4 Date of Birth

Is child 4 a multiple ?

Which category of Multiples is Child 4 ?

Child 5 Name

First Last

Child 5 Gender

Child 5 Date of Birth

Is child 5 a multiple ?

Which category of Multiples is Child 5 ?

Child 6 Name

First Last

Child 6 Gender

Child 6 Date of Birth

Is child 6 a multiple ?

Which category of Multiples is Child 6 ?

Other Information

Do you give permission for your Child/Children's birthday to be published in our club newsletter ?*

Detail is displayed in the newsletter with just the Month and John & David Smith 3rd Birthday, the actual date isn't listed.

Do you or any of your family members have special needs and require advice/assistance from our special needs contact officer?

Our special needs support was set up to support all family members including siblings, parents, grandparents, step kids etc. Anyone within your family, particularly those living with you who may have special needs requirements including those in wheel chairs, with allergies, medical conditions, birth defects, physical or mental disabilities or requirements, ADHD, dietary conditions like diabetes and many many other areas.

Our club is a not for profit - completely run by Volunteers - many hands make light work - maybe you can help! Is there anything you can donate/contribute/volunteer your time to your Club? Eg. Professional services, fundraising items.

Volunteering for Roles and Events - our club is a not for profit - completely run by Volunteers - many hands make light work - maybe you can help!*

Join our Committee
Help out at Playgroup
Co-Ordinate a club social event
Organise a club fundraiser
Help out at an expectant parent evening
Unfortunately I can't help at this time

Please check the boxes below if you are interested in finding out more and someone will be in contact. Lots of support from current committee and life members is given to anyone wanting to help out.

Membership Fees

Please select your membership type below. If you have any questions about these fees please email membership@bmbasouthside.org.au

Membership Options*

New Membership $35 (Once off $5 joining fee plus $30 annual membership)
Renewal Membership $30
School Age Mutliples $25 (Must have been a member for 5yrs+)

Our club offers support to those members who may not be able to cover the membership fee but are looking for support, for any reason you can not afford these fees please email our President on president@bmbasouthside.org.au and they will be happy to make an arrangement directly with you.

Multiple Family Support Contribution

For those that would like to and are in a position to help out other Multiple families, you can make a donation to the Multiple Families Support Fund to help those families who need a little helping hand from time to time. These funds will go towards membership fees, meals or essential items for our families.

Coupon Code

Life Coupon

Price: -$ 30.00

FIN New Member Coupon

Price: -$ 35.00

FIN Renewal Coupon

Price: -$ 30.00

FIN SAMS Coupon

Price: -$ 30.00

CONCESSION15

Price: -$ 15.00

Total

$ 0.00

Payment

Payment can be made via PayPal account or by using a credit/debit card through the PayPal system (no account needed). Once you click below on Submit Membership Form you will be re-directed to make payment. If you have a PayPal account you can log in or if not then click on the card option below the login to checkout with a card.