Children's Disability and Additional Needs Register

Please select who is completing this registration

Are you?

A parent or carer

A child or young person (If you are 18 years old or over you can add or remove yourself to the register)

A professional (on behalf of child with consent from either Parent / Carer or Young Person themselves if appropriate)

Contact Email Address

This will be used to send confirmation details and certificate for joining register only. It will only be used to contact you if you choose to allow us to at the end of the form.

Child or Young Person Details

First Name

Last Name

Date Of Birth

Day

Month

Year