Join Aussie Hands – Register

The Aussie Hands Foundation is a registered not-for-profit organisation and membership is free. All donations of $2 or more are tax deductible.

Which type of membership are you signing up for? *

• I am a parent and my child was born with a hand difference
• I am an adult over 18 years of age with a hand difference
• I am pregnant and found out that my baby will be born with a hand difference
• I know someone who has a hand difference
• I am a health professional (eg GP, hand surgeon, hand therapist, occupational therapist)

Personal details

Title *MrsMsMrDrProfOther

Your name *

First

Last

Gender

• Male
• Female
• Other

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry

Email *

Mobile Phone *

Home Phone

Child's details

I am the parent/carer of a child with a hand difference *

• Yes
• No

Child's Name *

First

Last

Child's Gender *

• Male
• Female
• Other

Child's Date of Birth

This is used for sending out Aussie Hands birthday cards

What is your child's hand/limb difference? *-- Please select below --AdactylyAmniotic Band Syndrome/Constriction Ring SyndromeAplasiaArthrogryposisBrachydactylyCamptodactylyClinodactylyDysplasiaEctrodactylyHypoplasiaMacrodactylyPoland SyndromePolydactylySymbrachydactylySymphalangismSyndactylySynostosisOther

Further details can be found at https://aussiehands.org/resources/information-about-hand-differences/terminology-of-hand-differences/

Further details on your child's hand/limb difference can be entered below:

Hand difference details

I am an adult over 18 years of age with a hand difference *

• Yes
• No

Date of Birth

What is your hand/limb difference? *-- Please select below --AdactylyAmniotic Band Syndrome/Constriction Ring SyndromeAplasiaArthrogryposisBrachydactylyCamptodactylyClinodactylyDysplasiaEctrodactylyHypoplasiaMacrodactylyPoland SyndromePolydactylySymbrachydactylySymphalangismSyndactylySynostosisOther

Further details can be found at https://aussiehands.org/resources/information-about-hand-differences/terminology-of-hand-differences/

Further details on your hand/limb difference can be entered below:

Expecting parent details

I am an expecting parent of a child with a hand/limb difference? *

• Yes
• No

Expected due date *

Child's hand/limb difference (if known)?-- Please select below --AdactylyAmniotic Band Syndrome/Constriction Ring SyndromeAplasiaArthrogryposisBrachydactylyCamptodactylyClinodactylyDysplasiaEctrodactylyHypoplasiaMacrodactylyPoland SyndromePolydactylySymbrachydactylySymphalangismSyndactylySynostosisOther

Further details can be found at https://aussiehands.org/resources/information-about-hand-differences/terminology-of-hand-differences/

Further details on your child's hand/limb difference can be entered below:

I know someone with a hand difference

Who do you know with a hand difference?

What is your relationship to them?

Medical practitioner details

My medical profession: *General Practitioner (GP)Hand SurgeonHand TherapistOccupational TherapistSocial WorkerCounsellorOther

Further medical profession details can be typed below:

Name of medical practice: *

Medical practice street address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountry

Medical practice email *

Medical practice phone number *

More information

I would like to volunteer to help Aussie Hands *

• Yes
• No
• Unsure

I would like to join the Aussie Hands closed Facebook group: *

• Yes
• No
• I am already a member of the Aussie Hands closed Facebook group

How did you hear about Aussie Hands?

• Another Aussie Hands Member
• Social Media
• Word of Mouth
• Health Professional
• Expo
• Other

Further details on how you heard about Aussie Hands can be entered below:

Please share your Facebook details (If you have one)

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Thank you for your interest in joining us. We look forward to your contribution to Aussie Hands!