JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
InclusAbility membership form
The data in this form will be used by InclusAbility in the provision of its activities and services and will be held in accordance with our Privacy Policy, a copy of which is available upon request
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Tick below if you don't use social media and would need to be contacted via email for events.
Yes
I consent for the pictures I share on the facebook members page to be shared by InclusAbility
*
Yes
No
Other:
Required
1. Full name
*
Your answer
2. Address
*
Your answer
3. Post code
*
Your answer
4. Contact number
*
Your answer
5. Would you be interested in attending an outdoor activity club
*
Yes
No
6. Do you feel there is a need for more provision for disabilities in the local area?
*
Yes
No
Other:
7. What would you like to see more of (you can pick more than one)?
*
Sports club
Clubs that focus on encouraging socialisation
Clubs that focus on developing key skills (Eg outdoor activity club/art etc)
Well being sessions/support for parents/carers
Socialisation for parents/carers (Eg coffee mornings/quiz nights etc)
Support/training on how to deal with behaviour/sensory issues etc.
Whole family activity clubs
Clubs/activities that are inclusive of siblings
Clubs that allow respite for carers/parents
Advice on education rights/benefits
Swimming
Other:
Required
8. How many children/adults with a disability do you have
*
1
2
3
None. I am the person with a disability
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
