If you're 10 years old or younger and live in San Antonio or the South Texas area, join the Young Heroes' Club! Just get your parents to help you fill it out and we'll send you your very own Young Heroes' Club Membership Kit for FREE! Then, we can have even more fun together!

Fields with * are required
*First Name:
*Last Name:
*Sex:	Boy     Girl
*Birthdate:	(mm/dd/yyyy)
*Address:
Apt:
*City:
*State:
*Zip:
*Phone:	( )
Email:
Have you ever been a patient at a Methodist Hospital?
Yes    No
At any other hospital?
Yes     No
Who is your family doctor?
Is your mom a member of WomanPlus®?
Yes    No
Your mom's First Name:
Your mom's Last Name:
Yes! I want to join the Young Heroes' Club from the Methodist Healthcare System. Please sign me up and send my Membership Kit as soon as possible.