LPCF Subscription Application Form

Lewisham Parent and Carer’s Forum is represented by a group of parent carers who have a child/ren or young person/s with a disability or additional need, living in the Borough of Lewisham.

Our aim is to encourage parents and carers to participate and engage to get the best services for our children, working with the local authority, education, health and social care, together with support groups and universal organisations.

General Data Protection Regulations – Members Information – 25th May 2018

If you wish to wish to subscribe to Lewisham Parent and Carer’s Forum we need to retain your personal information and we are obliged to make sure that all records are correct and up to date. See our Data Protection Policy, our Website and Media Data Protection Policy and Confidentiality Policy (all on our website).

Please complete the information below and submit the form by clicking the SUBMIT button below or by posting to

Lewisham Parent and Carer’s Forum
Leemore Centre
Bonfield Road
Lewisham
London SE13 5EU

Personal Details

Name

First NameLast Name

Address

Street Address

Street Address Line 2

City

Post Code

E-mail

Landline Number

Area CodePhone Number

Mobile Number

Area CodePhone Number

Ethnicity

Year of birth of 1st child

Additional need of 1st child

Year of birth of 2nd child

Additional need of 2nd child

Year of birth of 3rd child

Additional need of 3rd child

Year of birth of 4th child

Additional need of 4th child

I consent to Lewisham Parent and Carer’s Forum holding my personal information as per their Data Protection Policies. Please sign using your mouse or touchpad.

Please note that Lewisham Parent and Carer’s Forum is committed to the confidentiality of your personal information. Personal data will be held and used in accordance with the Data Protection Act 2018 and will not be shared with any third parties for commercial use. Please see our Data Protection Policy for further information.

Please type your full name

Signature Date

Date