Membership Application

Select your membership type:

BEFORE PROCEEDING PLEASE READ TO ENSURE YOU APPLY/REGISTER FOR THE CORRECT MEMBERSHIP LEVEL

If you are applying for membership for your organization or company select the button above "COMPANY USER"

Not sure which type of membership is for you?

Complete details, descriptions, benefits, and requirements on the JOIN page of our website.

Organization, Professional Affiliate & Industry Collective memberships allow up to 6 contacts within your company to be added to that membership group and receive the same benefits and member discounts.

Support Organization membership is for organizations/companies, led by or founded by a parent with a NICU experience. Qualifying organizations/companies may be a 501c3 public nonprofit, small business/sole proprietor, corporation, book author/advocate, or hospital support group. 

NICU Parent Insider level is for graduate NICU parents who have a passion for advocacy and education in Maternal Infant Health. 

Professional Affiliate level is A COMPANY level meant for providers & professionals working in Maternal Infant Health with a focus on supporting NICU families that are not led by or founded by a parent who had a NICU experience. Qualifying organizations/companies may be 501c3 public nonprofit, small businesses, corporations, book author/advocate, hospitals or clinics, or provider/professional member association or society.

Industry Collective participants are those corporations & industry stakeholders working in Maternal Infant Health or other allied industries that support the work of NICU Parent Support Organizations and Leaders.

Applicant Contact Information

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Set up Your PPA Member Account

Please create a login name and password to manage your PPA account (i.e. event registrations, update contact info, renew membership). Passwords must be 8 characters and include one number.

Would you like your membership to auto-renew:

Your NICU and/or Loss Experience

Your answers below will be used internally and will not be made public. The information you provide enables us to direct opportunities to you that are relevant and of interest.

Getting to Know You Better

We would love to know if you are already working in Maternal Infant Health. Even if you aren't, we want to know what topics are of greatest interest to you. This helps us with content development for our community.