Registration Application to become a Member of the CICFirst Name Last Name Email *I confirm that I am over 18 years old *YesUsername *This can be your email addressPassword *PasswordMembership Level * UnpaidPlease confirm that you have a connection to Brenchley or Matfield? *I live in Brenchley or MatfieldI work in Brenchley or MatfieldI have a child that attends Brenchley & Matfield primary schoolI have a child that attends Brenchley preschoolPlease select all that apply Verification This box is for spam protection - please leave it blank: