(By completing this form you are agreeing to become a member of Warrington Parents & Carers)

Name

Question Title

* 1. Name

Address

Question Title

* 2. Address

Your email address

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* 3. Your email address

Phone number

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* 4. Phone number

Areas of Interest
Please state e.g. primary education, respite, transition

Question Title

* 5. Areas of Interest
Please state e.g. primary education, respite, transition

I would like to be involved by

Question Title

* 6. I would like to be involved by

We welcome suggestions that would make it possible for more parent carers to be involved.

• Expenses for travel and childcare can be claimed in accordance with our financial policy
• Training for parent carers to take part confidently will also be available
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 email or text lists.

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 email or text lists.

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