Parent Registration

Thanks for your interest in joining us. You'll be pleased to hear that joining is free and by registering using this form, you'll be eligible to access events, days out and other fun things we do.

A quick note about privacy:

Anything that you submit on this form will be seen by certain members of PACT for Autism for administrative and planning duties.

Our IT support company will also have access to the information in their day-to-day management of the form software.

We will not pass your details to any other third party unless:

a) We have your permission, or,
b) We are required by law.








YesNo




YesNo




The next section will cover details of your dependants. We use this information to plan activities that will meet the needs of as many people as we can.

We encourage you to enter the details of all people that may be taking part in activities, whether they have additional needs or not.

You can add up to four dependants here. You must add at least one dependant with additional needs. By dependant, we mean children, young adults, or adults that you think might benefit from our activities.

Dependant one





YesNo

Dependant two





YesNo

Dependant three





YesNo

Dependant four





Theme ParksWater ParksOther outdoor eventsCinemaTheatreOther


I found you through an internet searchI found your Facebook pageI found you on TwitterWord of mouthOther


That's it! You're done. Thanks for taking the time to fill in this form. Click submit below and we will be in touch.