Aldershot & Farnborough Twins & Triplets Club

Membership Form

Name Birthday
Partner’s name Birthday
Address
County Post Code
Telephone No Mobile No
Email Address @
If pregnant now, due date:
Children’s NamesDates of Birth
1.
2.
3.
4.
5.
Emergency Contact Name
Relationship:
Work/home number:
Mobile Number:

Club use only:

Date Subscription Paid:

Subscription is £12 per annum, payable 1st July each year (cheques payable to Aldershot & Farnborough District Twins Club). For members joining after 1st January, the subscription will be £6.

Telephone numbers will be made available to other club members only – please advise if you would prefer your telephone number not to be distributed.

From time to time, photographs of you and your children may be taken at club events. Please advise if you have any objections to these being used for newsletter, local press, website or Tamba publications on the form provided.

The information given on this form is confidential and for use of the club only in the event of an emergency. It will not be made available to any outside agency.

Any other comments please write on the reverse of this form.

After completion, please PRINT this form and return it, together with your cheque and photograph consent form to:-
Sarah Williams,
60 Ashdown Avenue, Farnborough, Hants. GU14 7DW