Angels Membership Application Form

In accordance with GDPR, individual data collected will only be accessed by Angels Support Group DBS checked staff and will not be passed onto any third party or published publicly with any details which could potentially identify a family. The information will be used solely to compile statistics to enable us to obtain further funding, to complete monitoring for current funding and to ensure our services continue to meet the needs of our members. For more information please read our Privacy Policy.

    I consent to Angels holding my data for these purposes
    Surname of Parent*
    First Name*
    Street Address*
    Address Line 2
    Telephone / Mobile*
    I consent to Angels contacting me by telephone or text YesNo
    I consent to Angels contacting me by email YesNo
    We send most of our information to you by email. If you have selected that you don’t want to receive emails from us, we just want to check how you would like to hear from us. For cost reasons we can't send all the emails out to you by post but we can send the termly programme, details of holiday activities and other important information relating to your membership of Angels if you would like us to.
    I consent to Angels sending me information by post YesNo
    Ethnic Background*
    Do you consider yourself to have a disability? YesNo
    Please give details
    Surname of Child*
    First Name of Child*
    Date of Birth*
    Gender MaleFemale
    Diagnosis ASDADHDASD and ADHDAwaiting ASDAwaiting ADHDAwaiting ASD and ADHD
    Any other diagnoses - please describe
    GP Surgery*
    Please give details of any other children in the family as they are welcome to attend any events that Angels run.
    Sibling One's Name
    Sibling One's Date of Birth
    Gender MaleFemale
    Sibling One's School
    Sibling One - details of any special needs
    Sibling Two's Name
    Sibling Two's Date of Birth
    Gender MaleFemale
    Sibling Two's School
    Sibling Two - details of any special needs
    Sibling Three's Name
    Sibling Three's Date of Birth
    Gender MaleFemale
    Sibling Three's School
    Sibling Three - details of any special needs
    Any other information you feel is relevant
    Please tell us how you heard about Angels Support Group

    If you’re having trouble with this online form you can download the manual form here –

    Download Form