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*
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?).
captcha
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.

We are a charity based in the North West of England in the UK and provide support to families with children with congenital or acquired heart disorders at all stages of their condition, helping them deal with the problems and challenges it brings.
Copyright © Children's Heart Association 2000-2020
Children's Heart Association "Tommy and Tina" Logo © 2005
Registered Charity 267893