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Disability or additional needs
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Physical Disability
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Sensory Impairment
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Mental Health Issues
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Learning Disability
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Complex Health Needs
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Autistic Spectrum Disorder
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Visual Impairment
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Social Communication Difficulties
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Life Limiting
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(Optional) If you are able, please help us to monitor our client base by completing this section so that we are able to target our services and funding more appropriately for the future:
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About You:
First name:
Field is required!
Field is required!
Last name:
Field is required!
Field is required!
Address:
Field is required!
Field is required!
City:
Field is required!
Field is required!
Postcode:
Field is required!
Field is required!
Phone number:
Field is required!
Field is required!
Email address:
Field is required!
Field is required!
Child/Young Person (CYP)
Child/Young Person (CYP)
Field is required!
Field is required!
CYP1
CYP1
Field is required!
Field is required!
CYP2
CYP2
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Field is required!
CYP3
CYP3
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CYP4
CYP4
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Name
Name
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Gender
Gender
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DOB
DOB
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Select a date
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Select a date
Field is required!
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Select a date
Field is required!
Field is required!
Select a date
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School
School
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Field is required!
Mainstream
Mainstream
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Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
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Special
Special
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Other
Other
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Disability or additional needs
Disability or additional needs
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Physical Disability
Physical Disability
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Field is required!
Field is required!
Field is required!
Field is required!
Field is required!
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Sensory Impairment
Sensory Impairment
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Mental Health Issues
Mental Health Issues
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Learning Disability
Learning Disability
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Complex Health Needs
Complex Health Needs
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Autistic Spectrum Disorder
Autistic Spectrum Disorder
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Visual Impairment
Visual Impairment
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Social Communication Difficulties
Social Communication Difficulties
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Life Limiting
Life Limiting
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Field is required!
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Field is required!
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Other Information
How did you find out about the forum?
Field is required!
Field is required!
Do you belong to any national support groups or networks?
Field is required!
Field is required!
Which of the following does your family access?
Health Services
Parent Support Groups
Social Services
Other Support Services
Field is required!
Field is required!
(Optional) If you are able, please help us to monitor our client base by completing this section so that we are able to target our services and funding more appropriately for the future:
White British
Black British
Asian British
Other Mixed British
Other British
Other White
White/Black Caribbean
White/Black African
White/Asian
Other Mixed
Irish
Caribbean
African
Indian
Pakistani
Bangaladeshi
Other Asian
Chinese
Traveller
Other
Field is required!
Field is required!
If there is any other information you feel we should know, please write it here:
If there is any other information you feel we should know, please write it here:
Field is required!
Field is required!
I consent to the information being used solely by Rainbow Parents Carers Forum. This information will not be shared with any other organisation without my permission. Please tick I accept the terms and conditions
I accept the
terms and conditions
You need to read and accept to our terms of service.
You need to read and accept to our terms of service.
Submit
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