Membership : Who We Are : Nebraska Association for Infant Mental Health

Become a Member / Renew Your Membership

Fill out the registration form below to become a member of the Nebraska Association for Infant Mental Health. We accept payments through PayPal's secure checkout process or you can download the application form and mail it to us.

New User Registration

NAIMH membership is based on the calendar year, currently membership applications and renewals are for 2023.

For example, if someone joins NAIMH on September 29th, 2022 their membership will end on December 31st, 2022.

If someone joins NAIMH on October 1st, 2022 their membership will end on December 31st, 2023.

*Membership fee will officially increase on October 1st, 2022 due to this carryover.

Unfortunately, there can be no exceptions to this rule due to the computer system we will be utilizing.

NAIMH Application Form

If you are using the paper form, please print and mail your check and membership form to the address below:

Make checks payable to: NCFF

Nebraska Children and Families Foundation
Attn: Nebraska Association for Infant Mental Health Membership
215 Centennial Mall South, Suite 200
Lincoln, NE 68508

Membership Type

$50 - Regular
$15 - Student/Parent
$200 - Agency (up to 5 memberships)

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Visa MasterCard American Express Discover

Expiration Date (Required)

Security Code (Required)

Visa®, MasterCard® & Discover® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

NAIMH Membership Application

The mission of NAIMH is:

To promote and support nurturing relationships for all infants, toddlers, and young children (0 to 5).
To provide a forum for interaction and study among professionals, students, and parents.
To advocate for application of infant mental health principles for services to infants and young children and their families.
To distribute educational materials that promotes an increased understanding of infant mental health issues.

How did you hear about us?

Agency Name (Required)

Agency Name

First and Last Name

First Name *

Last Name *

Email (Required)

seuycy41384f

Phone (with area code) (Required)

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Additional Agency memberships — please list here:

Name 1

Name 2

Name 3

Name 4