Home - Wellington Multiple Birth Club

Membership Registration

The Club provides a range of services to its members including:

monthly newsletter including information and articles about multiple pregnancy, multiple birth and raising multiples
twice-monthly play group / morning teas
social gatherings
antenatal education aimed at multiple births
library with resources about multiple births and parenting multiples
equipment for hire
support and resource people
a network of parents and families who have been through the same experience

There is an annual subscription fees of $35 plus a one time $10 joining fee ($45 total).

To pay directly into our bank account:

Wellington Multiple Birth Club
Westpac Johnsonville Branch
03 1536 0001276 00
Please include your name as the reference.

To pay by cheque, post to:

Wellington Multiple Birth Club
PO Box 1258
Wellington
Attn: Club President

NOTE: if you are already registered please enter your User Name and Password in the Login/Register box OR if you have forgotten your log in details click on 'Forgotten Password' in the login box

Enter the details below to register on this site.
NOTE: The fields with an asterix (*) must be filled in.

Name Details

Title:
First Name*:
Last Name*:

Postal Address/Contact Details

Street:
Suburb:
City:
State/Region:
Postal/Zip Code:
Email*:
Phone No: Please include area code*
Mobile No:

Personal Details

Gender:	Male Female
Date of Birth:	(e.g.1999)

Survey Questions

Details in Newsletter:	Yes No
Ethnicity of Parents:
40 week Due Date of Babies:

Type of Multiples (tick as many as apply):
Twins Triplets 4+ Identical Fraternal
Have you already given birth to your multiples?:
Yes No
Do you have other children?:
Yes No
If Yes to either of the above questions, please list their First & Last Name and DOB:

How will you be paying for your membership?:
By Direct Debit Posting a Cheque
Partner Details - (First & Last name, address, mobile, DOB):