Support / Social Group Registration Please complete the form below to register your young person for our Support/ Social Groups. Which group would you like to register your young person on? *Please select an optionDereham Teen Group Year 7- Year 9Dereham Teen Group Year 9 - Year 11Main 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 *CityCountyPostcodeYoung Persons DetailsThe details fo the young person attending the groupName *Date of Birth *Does your young person have a confirmed diagnosis? *Please select an optionYesNoWhat are your young person's confirmed diagnosis? *ASD (Autism Spectrum Disorder)ADHDDemand AvoidanceTourette'sAnxietyDepressionSensory ProcessingLearning Difficulties / DisabilitiesOtherDoes this young person have any food allergies?Is there anything we need to be aware of regarding your young person? i.e. sensory sensitivities / behavioural concernsConsent *I understand that ASD helping Hands operates a waiting list for their Social/support groups to maintain a friendly, approachable, and manageable environment for the young people they support. ASD Helping Hands will contact me via email when a space is available for my young person and if they miss 2 consecutive sessions without notifying ASD Helping Hands of their absence their place will be offered to the next person on the waiting list.Click here to confirm and register
