Parent-Child Mother Goose Program®

Membership/Donation Form

Our membership year is January 1st – December 31st

‘The Parent-Child Mother Goose Program is a group experience for parents and their babies andyoung children focusing on the pleasure and power of using oral rhymes, songs, and stories together. The parents gain skills and confidence, which can enable them to create positive family patterns during their children’s crucial early years, and give their children healthy early experiences with language and communication.’

(at the heart P-CMGP)

-Your membership plays an important role in enabling us to grow our capacity to be of assistance.

-A strong membership also demonstrates that our innovative work has community support

-As an informed member, you can become a voice for the program

-Your questions and comments can help us develop our resources, our programs and outreach.

As a Member you :

  • Can gain Level Two PCMG facilitator accreditation via completion of 30 weeks of facilitation of an ‘at the heart’ PCMG program and completingat 10 week intervals - 3 self evaluations of your facilitation of your program
  • Can receive Canadian newsletters when published each year, including early notice of new publications
  • Receive results of research and professional studies of the program
  • Can attend the AGM andelect P-CMG (Melbourne) Inc. Committee Members
  • Will receive invitations to events and trainings
  • Will receive our Australian newsletter

In addition, Teacher Members can:

  • Use the registered trademarked name and logo (for programs which incorporate the essential elementsof PCMG - ‘at the heart’)
  • Participate in research of the P-CMGP®
  • Receive notification of special events
  • Send us regular reports to help us advocate for the program and plan for new resources and training
  • Receive electronic copies of the brochure to assist with program promotion and outreach
  • Post their P-CMGP® on the P-CMG Melb Inc link on the Playgroups Victoria website
  • Attend the AGM and elect P-CMG (Melbourne) Inc. Committee Meetings

NOTE: Only trained and accredited teachers are able to nominate for the Parent-Child

Mother Goose Inc. Committee positions.

We aim to keep our membership affordable. The Parent-Child Mother Goose Program® is a non-profit organisation. Donations are vital to our ability to deliver and develop the program and make it accessible for all Australians regardless ofability to pay. You will receive a tax-deductible receipt for your donations.

Date:
Name:
Postal Address:
Suburb/Town:
Postcode:
Phone:
Mobile:
Email:
Teacher/ Agency Membership: $30.00 •
New Member:
Number of P-CMG facilitators in your agency:
Membership Renewal:
Location of your training & approximate date:
Associate Membership: $20.00 •
New Member:
Membership Renewal:
Donation
$
Total amount enclosed or Direct Debited
$

PARENT CHILD MOTHER GOOSE PROGRAM (MELBOURNE) INC. ABN 41 496 150 541

Payments can be made by cash, cheque or EFT.

Please tick if you require an invoice

Please make all cheques payable to Parent Child Mother Goose Program (Melbourne) Inc.

EFT: Bank MECU, BSB: 313-140 Account: 12053027

Please ensure that you include your name in the “reference” section of your online transaction to ensure your membership is processed and your form is forwarded as below.

Please forward payment and form to:

Attention: The Parent Child Mother Goose Program®

346Albert St,Brunswick, 3065

Phone: (03)9388 1599 EXT 145 Fax: (03)9380 6733,

Email: