Family Support group registration Which group would you like to register for? *Please select an optionDereham Family GroupMain Contact DetailsThese contact details will also be used to contact you in case of emergencyMain Contact Name *Main contact PhoneAlternative PhoneMain contact Email Address *Street Address *CityCountyPostcodeFamily DetailsThe details of the family members attending the groupFamily Member DetailsPlease include all members of the family who will be attending including parents and carersName *Date of Birth *Does this person have any of these diagnosis? *No DiagnosisASD (Autism Spectrum Disorder)ADHDDemand AvoidanceODDTourette'sMental HealthAnxietyDepressionSensory ProcessingLearning DifficultiesLearning DisabilityOtherDoes this person have any allergies?Is there anything else we need to be aware of regarding this family member?Consent *I agree for ASD Helping Hands to hold my details on file for the means of contacting me regarding the Family Support group I have registered for.Click her to confirm and register
