Student Membership Application
Sign up now in 2 easy steps!
1
2
First Name
Surname
Preferred Name
(Optional)
Phone
Home address
Suburb
State
Postcode
Same as home address
Postal address
Suburb
State
Postcode
Email
Date of Birth
Gender
Agender
Androgyne
Androgyny
Bigender
Cis Female
Cis Male
Cisgender
Demiboy
Demigender
Demigirl
Female
Female to Male
Gender Non-Conforming
Genderfluid
Genderqueer
Intergender
Intersex
Male
Male to Female
Neutrois
Non-Binary
None Gender
Omnigender
Other
Pangender
Poligender
Prefer not to mention
Third Gender
Trans Man
Trans person
Trans Woman
Transgender Man
Transgender Woman
Transsexual
Trigender
Student ID
(Optional)