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PALS Membership Form

Thank you for your interest in joining PALS

PALS are a charity that welcomes applicatiosn to support children and young people with additional support needs (ASN). You do not need a formal diagnosis to join PALS

About you (Parent/Guardian/Carer)

PALS needs to know details about the responsible adult making the application

First name*

Last name*

Relationship to child(ren) with ASN*

Email*

Phone*

Address*

About your child(ren)

Name & age of all children in your family*

What would you like us to know about your child(ren) with ASN?*

I agree to the Members Duty of Care Policy and have read Data Protection statement

Membership Fee

There is joining fee to become a member of the PALS charity*

£20

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