Parent Carer Sign Up

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Welcome to the

West Sussex Parent Carer Forum!

Sign-up to our Parent Carer Forum by completing this short form.

This membership form is for Parent Carers only, if you are signing up as a professional then please see our Sign up form for Professionals on our website. Please feel free to sign up for both memberships if applicable.

About You

Name

Email address

SMS

This number will be used for event reminders, Please only enter your number here if you are happy to be contacted this way

Where do you live

0 lists selected

Adur (e.g. Lancing, Shoreham by Sea, Sompting, Steyning, Southwick etc)
Arun (e.g. Arundel, Littlehampton, Bognor Regis, Rustington, Angmering, Ferring, Findon, Horsham etc)
Chichester
Mid Sussex (e.g. Haywards Heath, East Grinstead, Burgess Hill etc)
Worthing
Horsham
Crawley

Your Child / Children

How many children/young people with additional needs do you care for?

If you care for more then one child, then please tick all that apply

Age of your child / children

0-5 years

6-10 years

11-16 years

17-25 years

25 years +

Please tick all that apply

Currently waiting for an assessment / diagnosis

Tick here if you are on the NDP pathway or waiting for assessment.

Would you like information on becoming a volunteer / parent carer representative with us?

Yes I would like more information

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