Join us To become a full member of the Association, please fill in your details below or alternatively send your details via email or write to us at the address at the bottom of this page. Please correct highlighted items * Required field Your Details First Name* Surname / Family Name* Address* Postcode* Country* United Kingdom Other... Phone Number Mobile Number Email Address* Confirm Email Address* Your Child's Details Do you have a heartchild? No Yes Child's First Name* Child's Surname / Family Name* Date of Birth Heart Condition* Other Information Contact Preferences Newsletters No Yes Confirm Entry Below you should see an image containing six letters (A - Z). Please enter these six letters in the box below (why?). Verification* Only click once, submitting your membership request may take a short time. If you have any problems with the above form, please submit your membership request by email instead.