Joining the WellChild Family Tree Network

Please select which of the following applies to you

Yes – I am happy for WellChild to keep this information for two years
No – I am not happy for WellChild to keep his information about me. Please delete it.
Please call me to talk through (I have provided my telephone number below)

Your name *

First Last

Your parent's name *

First Last

Your phone number *

(this will only be used in relation to this form)

Sign up for regular email updates