Join Peapods - for families of physically disabled children
Peapods is a parent-to-parent support group for families with physically disabled children/young people. Family membership is open to families with a child or young person (up to age 25) with a physical disability and costs £10 per year or £2.50 by quarterly direct debit. Peapods runs a range of events and activities for our members. See our website peapods.org.uk for our annual calendar of events. To join, please enter your details below then proceed to the next page for payment.
Email address *
Your name *
Your answer
Home address, including postcode and landline phone number *
Your answer
Local authority area *
Email address(es) for Peapods mailing list *
Your answer
Details of your disabled child(ren)/young person (people) up to age 25 - please include name, date of birth, and any relevant information about their diagnosis or disability *
Your answer
How does their physical disability affect them (e.g. wheelchair user, balance problems, fatigue, etc)? *
Your answer
Details of adult family members who may attend Peapods events (including yourself) - please include name, relationship to disabled person, mobile number (if available). You must include at least one parent/guardian. *
Your answer
Details of siblings under 18 who may attend Peapods events - please include name and date of birth
Your answer
Does anyone in your family have any dietary needs, allergies, medical conditions or behavioural needs/issues which Peapods event organisers may need to know about? Please note that children remain the responsibility of their parent / carer at all Peapods events.
Your answer
If possible, please provide an emergency contact (name and phone number) in case the responsible adult in your party is taken ill during an event
Your answer
We may take photos or videos at our events. Please state whether you give permission for Peapods to use photos/videos including any/all members of your group for publicity purposes now and in the future in printed publicity and digital publicity including on social media. Please ensure ALL members of your family named on this form consent OR give details below. If consent is not given, any photos and videos where members of your group can be identified will be deleted without being used. *
Where did you first hear about Peapods?
What attracted you to join Peapods?
Your answer
Would you like a Peapods volunteer to come and meet with you?
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