Membership

Become A Member of Bexley NAS

If your child has a written diagnoses of Autism and you would like to become a member of the Bexley Branch of the National Autistic Society, please complete the online membership application form below. Membership is free and is open to any family with a child or young person (age 0-25) on the autism spectrum living in the London Borough of Bexley.

Please note, this means that you will become a member of the local branch, rather the national NAS charity.
You can join the national charity by signing up via: http://www.autism.org.uk/get-involved/membership.aspx

If you are in the process of getting a diagnoses for your child, or your child has a diagnosis of Social Communication Disorder, please call the helpline to discuss how we might be able to support you during this time.

Bexley NAS - membership Form 2019

* Indicates required field

Name of Parent / Carer: *

First

Last

Address *

Postcode *

Email *

Phone Number (Home or Mobile) *

Phone Number (Home or Work) *

Child / Young Person's name: *

Child / Young Person's year of birth: *

Child / Young Person's diagnosis *

Child / Young Person's date of diagnosis *

Child / Young Person's educational setting: *

1st sibling name and year of birth (optional) *

2nd sibling name and year of birth (optional) *

If you have more than 2 siblings, please email details to [email protected]

Are you a member of the National Autistic Society? - choose one *

Yes No Don't Know

I understand that I am joining the Bexley Branch of NAS and not the main UK charity *

I agree

I agree to my information being stored by Bexley NAS and would like to receive relevant updates and newsletters *

I agree

How did you hear about Bexley NAS? *

Please add any further comments if required. *

I agree to receiving marketing and promotional materials

Submit