Christmas party registration

We will be holding a virtual Christmas Party on Saturday 11th December from 1pm-2pm for our MLD children and their siblings. We will also be distributing Festive Family packages in the lead up to Christmas to UK MLD families. If you would like to register your family, please complete the contact form below before 7th November.

I would like to register for:

The Christmas Party
The Festive Parcel
Both Christmas Party and Festive Parcel

Your name *

First

Last

Your email address *

Your relationship to the child or adult with MLD (only parents, guardians or close family members may register)

Name(s) of child, children or adult with MLD diagnosis

Child, children or adult’s date of birth with MLD diagnosis

Age of child, children or adult with MLD diagnosis

Type of MLD

Late Infantile MLD
Early Juvenile MLD
Juvenile MLD
Adult-Onset MLD

Year of diagnosis

Name(s) of siblings

Age(s) of siblings

Family address (to qualify full UK residency is required)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date

Additional comment or message

MLD Support Association UK is a registered Charity: 115054

Christmas party registration

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