New Member Form

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New Member Form

Welcome to Bicester Autism. We are a volunteer run support group for parents of children with Autism and related conditions.
Please complete the below information to join Bicester Autism

First Name *

Last Name *

Facebook Name (If different)

Email Address *

Address *

Phone number

Relationship to child *

Reasons for wanting to join Bicester Autism

We aim to operate a safe space for parents and carers to share experiences and ask advice. As such confidentiality is crucial to our success. Do you agree to keep all discussions both in person and on the facebook group confidential? *

Yes I Agree

Required

Please detail below any potential conflict of interest, or role held that may make it difficult for you to maintain confidentiality. For example, do you work within a local school, for the local authority or for CAMHS? This will not necessarily prohibit your entry to the group but failure to disclose such detail will result in removal from the group. If you have any queries or concerns please do contact us to discuss before answering.

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