Membership Application Form Welcome to Warrington Parents and Carers. Please complete this form to join us as a member. Question Title * 1. Name Question Title * 2. Address House Number Street Town Post Code Question Title * 3. Your email address Question Title * 4. Phone number Question Title * 5. Areas of InterestPlease state e.g. primary education, respite, preparing for adulthood, social Question Title * 6. I would like to be involved by Receiving regular information Taking part in consultations Attending regular meetings Attending one off workshops Sharing my experience Having fun! Other (please specify) Question Title * 7. Members can receive regular newsletters and invitations to events that bring parents, carers, children and young people together. 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 emailing list. You may unsubscribe at any point. I would like to be kept informed of the work of Warrington Parents and Carers by email Done
