Join Wellington Multiples

Type of Membership

New Membership

Renewal

Please select "New Membership". This is purely for the ease of our records in Google Sheets.

Mother's first name

Mother's last name

Address

Contact phone number

Primary email

Date of birth

Month

Day

Year

Partner's first name

Partner's Surname

Partner's email

40 Week Due Date of babies

Month

Day

Year

Choose birthdate if already born

Babies birthdate if already born

Month

Day

Year

Choose today's date if not yet born

How will you pay for your membership?

Credit/Debit Card

Sponsorship (previously organised with the club)

Facebook name that will be used to join the Wellington Multiples Page if different from your name above?

Instagram name that will be used to join the Wellington Multiples Page if different from your name above?

Would you like us to place a 1st birthday announcement in our Newsletter and/or on Facebook when your babies turn 1? We will email you nearer the time to confirm.

Yes please

No thank you

Other

Select fee type

New member feeNZ$50

SponsorshipNZ$0