Renew Your Adoption UK Membership

Please complete the renewal form below:

YOUR DETAILS

Membership to Adoption UK includes a named spouse or partner

Your Details
Title
Surname
First Name
Date of birth	(yyyy/mm/dd)
Mobile No.
Email Address
AdoptionUk Username

Your Partner's Details
Title
Surname
First Name
Date of birth	(yyyy/mm/dd)
Mobile No.
Email Address
AdoptionUk Username

Postcode
Telephone No.

Please select if you DO NOT wish to continue receiving our magazine Children Who Wait.

Change of Details

Please let us know if any of your details have changed by filling in the relevant sections
Name :
Address
Postcode
Telephone No.
Email Address
Marital Status	None Selected Married Single Cohabiting Same sex Couple Widowed Divorced
If your address has changed please give us your old postcode

Please Select all that apply:

	Foster Carer
	Prospective Adopter
	Adoptive Parent
	Adoption Agency Professional
	Other Professional
	Student
	Adopted Adult
	Other

If relevant, which is/was your assessing agency ?

Support Required ? If you would like to receive support in any area please indicate so from the list below and a relevant member of staff will contact you.
Support	Telephone/email contact with other Adoptive Parents Information Leaflets/Library Books Contact with your local Adoption UK Co-ordinator Contact with Adoption UK's Support Co-ordinator Other - Please specify None
Other

Data Protection Act 1998 (Reg. No. Z6110614)
It is necessary for Adoption UK to input and store information about its members on a computerised record system. Our policy is to store only the minimum amount of information necessary for us to fully support your membership and respond to your enquiries. The information you supply will be under the general control of the Trustees of Adoption UK, and specifically the Director who can be contacted at our office. You retain the right, at any time, to have information we hold about you permenantly removed from our records. All members of staff are bound by a confidentiality agreement. No information will be passed on to a third party without your consent. At any time you may apply to see a copy of the records we hold about you, but we reserve the right to levy a small charge for this service to cover administration.

Please indicate your agreement to Adoption UK storing the information that you provide and your acceptance of these conditions by clicking the checkbox below :

PAYMENT DETAILS - please select one option:
Adoption UK membership with Adoption Today only
	Uk Membership Rate	£42.00
	Europe	£54.00
	Overseas	£62.00
Adoption UK membership with Adoption Today and Children Who Wait
	UK Membership Rate	£68.00
	Europe	£83.00
	Select this box if you DO NOT want us to pass your contact details to the Adoption UK Volunteer Coordinator in your area, to keep you informed of support group activities and other events close to you.

Donations
I should like to include a donation of :
I would like my donation to be used for (please select)
	Events
	Purchase of new library books
	Co-ordinator Training
	General
	Other - Please specify
Gift Aid Please note that if you are a UK Taxpayer you can increase the value of your membership, at no extra cost to yourself, by signing the GIFT AID Declaration "I agree that my payment to Adoption UK, Charity Number 326654, can come within the GIFT AID scheme, and I confirm that I have paid an amount of UK Income Tax or Capital Gains Tax during the year at least equivalent to the sum to be reclaimed (about £7.00)."

Please click here to submit your information and to be taken to the payment section

Please click here to to view our Refund Policy