General FAMILY Membership

The General family membership is for more than one person from a household that attends events held by the Association.   

Please enter all people under this membership on the form below. 

Please note that professional paid carers are NOT eligible to be covered under membership.

If your membership application is found to be fraudulent you will be banned from the Association and all our events and activities.

If you attend a Stroke Recovery Club/group/choir, you can get a Club membership here.

If you would prefer to make payment over the phone, please call 1300 650 594.

Price:

$30

First Name:* First Name Required

Last Name:* Last Name Required

Title (Primary contact person):* Title (Primary contact person) is Required

First Name (Primary contact person):* First Name (Primary contact person) is Required

Last Name (Primary contact person):* Last Name (Primary contact person) is Required

Name of additional person on membership and the relationship to the primary contact: Name of additional person on membership and the relationship to the primary contact is not valid

Year of birth (optional): Year of birth (optional) is not valid

Address Line 1::* Address Line 1: is Required

Address Line 2:: Address Line 2: is not valid

State:* State is Required

New South WalesVictoriaAustralian Capital TerritoryQueenslandSouth AustraliaWestern AustraliaNorthern TerritoryTasmania

City::* City: is Required

Postcode:* Postcode is Required

Primary phone number:* Primary phone number is Required

Select all that apply to people in this membership. I am a:* Select all that apply to people in this membership. I am a is Required

Stroke Survivor Carer Health Professional Volunteer

Would you like to be on the weekly online group mailing list?:* Would you like to be on the weekly online group mailing list? is Required

Yes No

I would like to receive newsletters by:* I would like to receive newsletters by is Required

Email Mail Both mail and email

Would you like to receive information about Aphasia NSW?: Would you like to receive information about Aphasia NSW? is not valid

Yes No

Is your background culturally or linguistically diverse?: Is your background culturally or linguistically diverse? is not valid

Yes No

Are you of Aboriginal or Torres Strait Islander descent?: Are you of Aboriginal or Torres Strait Islander descent? is not valid

Yes No

I acknowledge that I have read and understand the Stroke Recovery Association’s COVID-19 vaccination policy (https://strokensw.org.au/wp-content/uploads/2022/08/COVID-19-policy.pdf). *

I agree to abide by the policies and procedures of the Stroke Recovery Association and understand that my details are kept on a confidential database of members as required by the Associations Incorporation Act 2009 and the Associations Incorporation Regulation 2010. *

I give permission for any photos taken of me during Stroke Club/group/choir activities to be used for promotion by the Stroke Recovery Association in publications and/or on social media.

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Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

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