Join Us

If you live in Southwark and are a parent/carer of a child with a learning difficulty, disability or additional need you can join us by completing the attached membership application form. As a result you will:

• be added to our mailing list
• receive regular mailings (including meeting agendas, minutes, quarterly newsletters) *

We aim in future to set up mailing lists linked to, e.g. short breaks, education health, etc, but since the majority have so far indicated an interest in most, if not all subject areas, we will continue to send out blanket mailings, and review this later, based on your feedback.

Please bear with us; it’s difficult to get the balance right – we don’t want to inundate you with information, but do not want you to miss anything that may be important to you.

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Southwark Parent Carers’ Council & Forum — Membership Form

I would like to represent other parent/carers on the parent/carer council
I would like to be part of a wider parent/carer forum
I may wish to be considered for a seat on the parent/carer council in the future
Name:	Title: Mr Mrs Ms Miss Dr Other First Last
Address:
Telephone:	Home: Work: Mobile:
Email:
About your child	Name: Age: Disability/needs
Your ethnicity	--select-- Indian Pakistani Bangladeshi Other Asian Caribbean African Other Black British Irish Other White White and Black African White and Black Caribbean White and Asian Other mixed Chinese Other Dont want to say Please clarify
Your first language	--select-- English Chinese español বাংলা Hindi portuguesa Russian Japanese Deutsch Korean Français Vietnamese Telugu Marathi Tamil Türkçe Urdu Gujarati Polski Arabic Ukrainian italiano Malayalam Kannada Oriya Punjabi român Bhojpuri Azerbaijani Farsi Burmese Serbian Thai Nederlands Sindhi O’zbekcha Malay Amharic Bahasa Indonesia Filipino Nepali Magyar Sinhalese Czech ελληνικη Belarusian Pashto Bulgarian Svenska Kazakh Uyghur Khmer Afrikaans shqipe Armenian Euskara Català Cherokee hrvatski Dansk Dhivehi Esperanto Eesti suomi Galego Georgian Guaraní Hebrew Íslesnka Inuktitut Kurdish Kyrgyz Laotian Latviešu Lithuanian Macedonian Malti Mongolian Norsk Slovenský slovenski Kiswahili Tajik Tibetan Other
Are there days and times that you would not be able to attend a meeting?
Please tell us how you would let other parents know about the work of the Parent/Carers’ Council? For example, you could be a member of a local support group, or a school governor OR you could work in health, social care or education and be able to provide the Parent/Carer Council with information about your service