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Twinstuff Outreach
Online Registry
(Part 1 Form for Parents)

(*Required Field)

Twinstuff Outreach, our 501(c)(3) non-profit charity benefitting families with multiples in need, has begun an ongoing research project to develop the world's most comprehensive registry of twins. Thanks to the kindness of an initial grant from the Cardinal Health Foundation, we have developed the following survey to help populate our twins registry. The purpose of this database is to assist researchers who are seeking twins to interview for scientific medical research projects.

All researchers must contact Twinstuff Outreach via one of the contact methods listed below and then receive approval from our Board of Directors for access to this registry information. No other third parties or non-scientific researchers will be granted access to the actual information submitted in these surveys. Twins who fill out this survey who are later contacted by researchers will be free to determine whether they wish to participate in these specific research projects on an individual basis.

This survey should be completed by parents for both of their twins who are age 18-and-younger at the time of filling out the survey and will take approximately 15-20 minutes to complete. We will refer to your twins as twin#1 and twin#2 or first twin and second twin so please be consistent with each twin's information as you complete the form. Twins over the age of 18 should not fill out this survey but should instead start by filling out the following linked survey.

The first part of this survey is general background information. After filling out all required fields and hitting the 'send' button at the bottom of this page, you will be taken to part two of our survey in which you will be asked some questions to help determine your twin's zygosity.

Today's Date*:
General Information on Twins
First_Name
Twin#1*:
First_Name
Twin#2*:
Last Name*:
Sex
Twin#1*:
Sex
Twin#2*:
DOB*:
Ethnicity:
Your Current Contact Information
Your First Name*:
Relationship to Twins:
Address1*:
Address2:
City*:
State*:
Zip Code*:
Country*:
Phone*:() -
Valid Email*:
Certification
Certification*:I certify that I am over the age of 18
and am voluntarily submitting this information
for my children who are under the age of 18.


Twinstuff Outreach Email
twinstuff@twinstuff.com
General Requests
mark@twinstuff.com
Twinstuff Outreach Requests
Other Contact Information
Twinstuff Outreach
P.O. Box 395
Missouri City, TX 77489
Our Phone Number
(832) 212-4793
Free Web Sites for Twins
Click here to create a free web site for your twins!
Talk About Twins!
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Twins Database
Click here to add your twins to our growing database!