AWARE
Membership
Application

Membership is £5.00 to anyone in the Airedale, Wharfedale or Craven areas, Yorkshire of the UK, with an interest in autism and gives access to the following:
     Monthly evening meetings on the second Tuesday of the month                    (with the exception of August).
     10 newsletters per year - postal or email.
     An extensive library of books, videos and CD's about autism.
     Play equipment available for loan.
     Notification of any special activities by the group.
     A weekly youth club in term time for 7-16yr olds.

A warm welcome from a friendly, informal and supportive group of parents.

Your name:

Address:





Telephone no:

Email address:

Who are you?:

Newsletter version:

Payment method:
Payment details are given on the next page after you click the submit button.

If you are a parent or carer of a child on the autistic spectrum, please give your child's details below. Personal information is stored according to the Data Protection Act.

Child's name:

Date of birth:

School child attends:

Does the child have a diagnosis of ASD/AS?

Does the child have a:



Ethnic origin:




If you have already submitted your details and not yet paid
a membership fee, click here.
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statement
school action
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