Associate Membership is available for people or organisations who are not parents or carers of young people with a disability, but who wish to be involved in the work of Cheshire East Parent Carer Forum, for example professionals working for Cheshire East  / local NHS CCGs / other organisations providing services to parent carers and their children.

Please complete the application to become an Associate Member of the Cheshire East Parent Carer Forum.

Your name

Question Title

Your name

Organisation

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Organisation

Your address

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Your address

Your phone number(s)

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Your phone number(s)

Your email

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Your email

Area of Activity (Please state, eg. primary education / health etc)

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Area of Activity (Please state, eg. primary education / health etc)

I would like to be involved by (tick as many as apply)

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I would like to be involved by (tick as many as apply)

We would like to contact you from time to time with information about services, newsletters and involvement opportunities. Please indicate if you would like to be on our email or text lists.

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We would like to contact you from time to time with information about services, newsletters and involvement opportunities. Please indicate if you would like to be on our email or text lists.

Thank you for completing this form.

Any information used to help us contribute to the planning and provision of services in Cheshire East will be anonymised to make sure that individuals cannot be recognised. Your details will not be shared with any other agency and will be processed in accordance with the Data Protection Act 1988.

You can have your details removed at any time by contacting the Administrative Assistant on 07794431768, cheshireeastpcf@gmail.com or in writing to Unit 15, Brierley Business Centre, Mirion Street, Crewe, CW1 2AS

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