1. Please indicate the type of membership
With voting rights. Open to any family or parent carer of a child or young person with a disability or an additional need (up to the age of 25)
With no voting rights. For families and parent carers whose young people are aged over 25 and wish to continue to share their valuable experience, skills and knowledge
With no voting rights. For any individual who is over 18 years of age and interested in furthering the objectives of the forum, and who is a practitioner in the field of disability or special educational needs. Associate membership is open to anyone who wishes to assist the forum to achieve its aims and who is willing to adhere to the constitution, code of conduct and conflict of interest polices.
2, Members Contact Details
3. If Relevant
To be completed if you work/volunteer for an organisation that supports children and young people aged 0 – 25 with a disability and/or additional needs or their Families.
4. In which district of Essex do you live?
5. How many children do you have in your family unit?
6. How many children or young people with disabilities and/or additional needs do you care for?
(for each child with disabilities and/or additional needs please give details below)
7.
To Help us fully reflect the range of disabilities and additional needs of children & young people aged 0-25 throughout the County of Essex, you are invited to indicate in the boxes below which disabilities and/or additional needs apply to your children & young people. If SECTION A does not fully represent your children or young people’s disabilities and or additional needs, please take this opportunity to write in SECTION B any other disability or additional need that may apply. SECTION C is also available if you wish to provide any further information.
Please indicate below any of the disabilities and/or additional needs that apply to your children & young people
Please describe below any other disabilities and/or additional needs that apply
Any further information: (optional)
8. Where did you hear about us?
9. Opt in
Please Note: In becoming a member you agree to the following: 1. Your details will be entered into our confidential database and used by us to communicate with you. 2. We will hold your information securely and not share this with any other organisations. 3. We will keep you informed about participation opportunities and invite you to contribute your views.

Essex Family Forum will only use data gathered within the legal requirements of the Data Protection Legislation. Personal data will not be shared with third parties unless fully anonymised, specific consent has been provided or is required by law. A subscriber may, at any time, request to be removed from our data systems and their records will be deleted unless there are legal precedents.

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