Family Membership

Joining the Smith-Magenis Syndrome Foundation enables us to support the family and friends of those with SMS. We also welcome professional memberships from any professionals who have an interest in supporting SMS.

Join us now

For submitting your data don't fill this following email field:

Your Name:

Please enter the family/carer's name here:

First Line Address:

Please enter your house number/name and first line of your address.

Second Line Address:

Please enter the second line of your address.

Town:

County:

Postcode:

Phone Number:

Your Email Address:

Name of SMS child or adult:

Please enter the name of your SMS child or adult here.

Please specify your relationship to SMS child/adult:

Age when diagnosed:

Please enter the date of the child when diagnosed with SMS.

Your Child's date of birth:

Month:

Year:

Sex:

Male:

Female:

Membership Type:

Please select the type of membership you would like to have

Family Membership

Professional Membership

As part of the Smith-Magenis Syndrome Foundation, we offer support to our members, please select if you happy to be contacted by other member or you would prefer not to be contacted.

Contact

Please Contact

Prefer No Contact