Application to join Special Kids in the UK for professionals working in the area of Special Needs.

Please complete all areas of the form where applicable. You must be 18 years of age or older to register.

Your Name * required
Your Job Title * required
Organisation name * required
Organisation Address 1 * required
Organisation Address 2 * required
Organisation Address 3
County * required
Postcode * required
Your email address * required
Retype email address to confirm * required
User name (please specify the user name you would like to use to sign into the website members area and forum) * required
Password * required
Responsibilies and areas of United Kingdom covered * required
Any other information you would like to share that you feel is relevant
How did you hear about Special Kids in the UK?	Search Engine Word of Mouth Local publicity Other (please specify)
Please tell us why you would like to join Special Kids in the UK? * required

Data protection: In addition to sending you our quarterly newsletter, we would like to contact you occasionally with information about Special Kids in the UK and other ways you may be able to support our work. Please tick here if you do NOT wish to be contacted by email: post:

Thank you for providing the above information. Special Kids in the UK will never disclose or pass your details onto any third party organisation without prior approval by yourself. Please note that we do not charge for membership to Special Kids in the UK but if you would like to make a voluntary donation, please visit our How you can Help section on our website.