Address Details
Additional Details
I had a premature baby
I had a baby that was born critically ill
I had a baby with medical conditions after birth
Website www.miraclebabies.org.au
Social Media
In the media
Internet search
Word of mouth (friends & family)
Hospital Staff member
Miracle Babies - 24 hour support line
Miracle Babies - In hospital support session
Miracle Babies Event
I am a current donor
Other
1 - Not coping at all
2
3
4
5 - Neutral
6
7
8
9
10 - Doing Very Well
Attending NurtureGroup
Child 1
Yes
No
Child 2
Yes
No
Emergency Contact Details (for the attending Adult)
Family Circumstances
Yes
No
Dietary Requirements
Yes
No
Allergies
Medical
Asthma
Diabetes
Heart Condition
Blood Disorder
Allergic Reactions
Epilepsy or Seizures/Convulsions
N/A
Yes
No
Yes
No
Audio Visual Consent
yes, just myself
yes, myself and/or my partner and children
No
Parent Guide
Wellness Policy
Code of Conduct
Child Protection Policy
Please tick all to confirm you acknowledge the behaviour expectations we have for all parents attending NurtureGroup.

Confirmation Content

Thank you for registering for NurtureGroup.

All NurtureGroup registrations are subject to approval by Miracle Babies Foundation. Keep an eye out in your inbox for your confirmation, it contains important information to ensure you have the best experience possible with us.

Don't forget to check your junk folder too!

Please also take the time to refer back and familiarise yourself with our Wellness Policy, Parent Guide and Code of Conduct that you signed on the previous page for a smooth transition to our NurtureGroup sessions.