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Partner Full Name
Partner's Phone
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What Kind of Multiples ? * Choose One Twins Triplets Quads More / Other
Are Your Multiples Fraternal or Identical ? * Fraternal Twins Fraternal Triplets Fraternal Quads Identical Twins Identical Triplets Identical Quads All Fraternal Not Sure / Other Choose One
Have You Named Your Multiples? * We'd love to be able to refer to your multiples by name! If names are not known / or still undecided, just put "not yet known"
Due Date / Birth Date of Multiples? * For example dd/mm/yyyy or none if you don't have this information
Do You Have Other Children? * Choose One None One Other Two Others Three Others Four Others Five or More Others
Would you like to be part of the Buddy Programme? * Choose One Yes please No thanks Not sure / Undecided
Are You Interested In Joining The Committee? * Choose One Yes please No thanks Not sure / Undecided The club is solely run by volunteers and we are always keen for help! Either now or in the future would you be interested in joining the club committee?
Age of Mother * Under 16 16 - 24 25 - 34 35 - 44 45 - 54 Other / Prefer Not To Say Choose One
How Did You Hear About Us * Midwife Obstetrician GP Friend Google Bing Publication Other
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