Join Wellington Multiples
Please complete the following details in order for us process your request to join the club or renew your membership.
Name *
Surname *
Address *
Your mobile number *
Email *
Gender *
Joining Members Date of Birth *
Ethnicity of Parents? *
Type of Multiples *
Have you already given birth? *
40 Week Due Date of Babies if not born yet or Gestation & Date they arrived? *
Do you have other older children and what are their ages? *
New Membership or Renewing? *
How will you be paying your membership fee? *
Your Partners Name *
Your Partners Surname *
Partners Email Address *
Partners Contact Number *
Facebook name that will be used to join the Wellington Multiples Page if different from your name above?
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