Australian Twin Registry - Information Booklet Request

Please note that you must complete the whole form and click submit for your details to be saved.

The Australian Twin Registry (ATR) has a free booklet which we offer mothers pregnant with twins; it is produced by the ATR in conjunction with health professionals and twin parents. This booklet contains helpful information about twins and what to expect during pregnancy and upon taking the babies home.

To register for a booklet, please complete the form below. We can also contact you after the birth to see if you may be interested in registering your twins with the ATR.

 
How did you hear about the ATR or the free booklet?    
   
What is your relationship to the expected twins?      
How many weeks pregnant is the mother right now? (Eg. 32)      
Due Date: (dd/mm/yyyy)        

Mother's Details:

Title: 
First Name:         Preferred Name: 
Middle Name: 
Surname:         Previous Surname: 
Date of Birth: (dd/mm/yyyy)        
Home Phone: 
Mobile:     
Email:     I don't have / would prefer not to provide an email address
 
Address:     
 
Suburb:        Post Code:     
State:     
I am happy to be contacted by the ATR after the Twins' birth: