Office: 01279 430300 | Support / Information Lines: 07377 386090 / 07377 386093

PACT for Autism is a registered charity No. 1148170

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© 2020 Pact for Autism. All Rights Reserved.

Proudly created by V & S Consulting Ltd.

Register with PACT

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.  You will also be able to ask questions and post advice to our knowledgable PACT community.

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.  You can read our Privacy Policy here.

We will never pass your details to any other third party unless:

  • We have your permission, or,

  • We are required to do so by law.

PACT Registration Form
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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. By dependant, we mean children, young adults, or adults that you think might benefit from our activities.  All Dependent information is optional.

Dependent #1 Details:

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Dependent #2 Details:

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Dependent #3 Details:

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Dependent #4 Details:

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General Information

About which topics are you happy for us to contact you?
What activities do you like to do when you go out as a family?
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Thats it!   You're done.  Thanks for taking the time to fill in this form.  

Click 'submit' below and we will be in touch.