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Parentsactive is open to all parents and carers of children and young people who have additional needs or a disability. Membership is free. You’re welcome to join if you live in, or have children/young people at schools/in provision in Hammersmith and Fulham.
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Parent/Carer Title
Miss
Mrs
Ms
Mr
Other
Parent/Carer's Name
*
First
Last
Please tell us your month and year of birth
*
This information is used for grant monitoring purposes and helps us to secure funding for projects
whether borough of
Relationship to the child or young person
*
(e.g. parent, foster carer, grandparent, guardian)
Address
*
Address 2
*
Phone Number
*
Postcode
*
Email
*
Child or young person’s name
*
First
Last
Child or young person’s date of birth
*
(DD / MM / YYYY)
Please tell us about their needs and disabilities
*
You do not need an official diagnosis to join Parentsactive. We support families based on lived experience, whether needs are diagnosed, emerging, or still being explored.
Please use this space to tell us about any other children in your care and whether they have any additional needs
Is the young person aged 19 (or approaching) and would you like to join our Post-19 mailing list?
Yes
No
Parent carers caring for someone over 25 years will automatically be added to this list. The Post-19 mailing list shares information about adult services, transitions, events and opportunities to shape local support.
Please tell us about your connection to the borough of Hammersmith & Fulham
*
(e.g. live in the borough, GP registration, school / college attendance)
How did you hear about Parentsactive?
Family or friends
School/College SENCO
Cheyne Child Development Service
Other Professionals
Google/Other Search Engine
Flyer/Leaflet
Social Media
One of our Events
Other
How would you like us to connect you?
*
Email
WhatsApp Community (information & updates only – no chat)
WhatsApp Community and Support Groups (peer support & discussion)
Please note: if you consent to join WhatsApp groups, your name and phone number will be visible to other members within the group.
I would like more advice or information on:
Education and EHCPs
Health and therapies
Social care and support services
Transitions to adulthood
Post-19 / adult services
Benefits and financial support
Emotional wellbeing
Peer support and community activities
Something else
Please tick all that apply.
If you selected “something else”, please tell us more:
Your ethnicity
White British or other White background
Black, Black British or another Black background
Asian, Asian British or another Asian background
Mixed – White and Black Caribbean
Mixed – White and Asian
Mixed – White and Black African
Any other mixed ethnic background
Arab
Any other ethnicity
Prefer not to say
This information is used for grant monitoring purposes.
Do you consider yourself to belong to any of the following groups?
Full-time carer
English is my second language
Have a disability
Single parent
Living in social housing
Experiencing mental health difficulties
LGBT+
On a low income
Foster carer
Relative carer
Other caring responsibilities
Providing this information is optional; however, your response supports our funding applications and the overall monitoring of our work
Please use this space to tell us anything else you’d like us to know, such as particular concerns, areas of interest, or support you may be looking for.
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