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DNSF Membership Form
Enter all the information that you can (or wish to) - this will be stored confidentially and securely. Your details will be used to make sure we are in contact with you. Downs and Special Friends will not share your information with anyone else.
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* Indicates required question
Email
*
Your email
Your Name
*
Your answer
Your Surname
*
Your answer
Home Address - Line 1
*
Your answer
Town / City
*
Your answer
County
*
Your answer
Postcode
*
Your answer
Phone Number
*
Your answer
Do you have a Spouse? Is there anything you would like to share with us about Members immediate family
Your answer
How many children do you have?
*
1
2
3
4
5
Other:
Required
Are you a Parent with Child / Child's with Special Needs?
*
Choose
Yes
No
Are you their Main Carer?
*
Choose
Yes
No
It's all about the Special One
They must have a Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender Equality
*
Male
Female
Prefer Not to Say
Other:
Required
Nursery, School, College they attendiing
*
Your answer
There Disability - Please explain briefly
*
Your answer
Do you have any other Children with Special Needs? If Yes, than please repeat by completing this form again with additional children details.
*
Yes
No
Anything we should know
Your answer
Permission to use photos on SocialMedia, Press Releases, and Website
*
Yes
No
Required
Permission to send you Newsletter and Marketing materials.
*
Yes
No
Required
Thank you for completing the Downs and Special Friends Membership Form. We will now issue your Membership Card. One of the committee members will be in touch.
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