Signup

To become a member of the Alphie Kids club you must be under the age of 18 and have a connection to Alpha-1 Antitrypsin Deficiency, whether effected or related to someone who is affected by it. All forms MUST be completed by a parent or guardian sadly any forms that are not will not be considered for membership.  Once you have been accepted as a member you will receive your membership gift in the post. This will be an Alphie Bear badge and a pencil case with a pen, pencil, ruler and rubber. Sadly these can only be sent to those within the UK unless by prior agreement by ourselves and postage paid if outside the UK. The gifts will usually be posted within a week of receiving membership and upon acceptance.

      

If you would like to join our club, please fill in the form below.

By filling in the below form, it does not mean you are automatically made a member. All requests are individually looked into and we will contact you to let you know the outcome.


Please be patient with this form.  Once you click on the 'Send' button, spinning arrows will appear.  While these arrows are there, it means that it is still processing your details.

By using the above form to request to join our club, you are confirming that you have read and accept our Privacy Policy and that you are willing for us to store the information you give.