Membership Application Form 2026

By signing up for our free family membership, you’ll gain access to our members-only area, lending library, family support groups, and inclusive events. Membership is open to parents and carers of disabled children and children with additional needs in the districts and surrounding areas of Ashford, Dover and Folkestone.
Name

First NameLast Name
Support for my child who is out of school or on a reduced timetableAfter-school, weekend or holiday activities for my childYouth groups to help my child build confidence and friendshipsHelp getting my child back into education, training or routineFamily support to help me understand my child’s needsAdvice, guidance or short-term support for our familyMore intensive family support over a longer periodParent workshops or trainingAccess to the lending library (sensory items, resources, equipment)Being involved in inclusive events and activitiesVolunteering, Mentouring or getting involved to support other families
How did you hear about us
Which District are you in (this includes surrounding and rural areas)
Address

Street Address

Town/District

CountyState / Province

Postcode
Email
Phone Number
Ethnic group (optional)
Childs name with Disability or Additional Need
Childs Date of Birth*

DayMonthYear
Date
Primary Disability or Additional Need
Do you have any other Children with a Disability or Additional Need
Second Childs name
Second Childs Date of Birth*

DayMonthYear
Date
Second Childs Disability or Additional Need
Any further Children with a Disability or Additional Need
Third Childs name
Third Childs Date of Birth

DayMonthYear
Date
Third Childs Disability or Additional Need
Any additional Children with a Disability or Additional Need please leave their details here
Photographic consent: Occasionally we do take photographs of the children attending our events and activities. We would like to use these images in our publicity materials and on our website and social media pages. There may also be occasions when local media may wish to publicise or promote our work in the community by using images that may then appear in newspapers or on television. To comply with the Data Protection Act 2018 and the GDPR, we need your permission before we can photograph or make any recordings of your child for promotional purposes. Please indicate below for which purpose(s) you give your consent and sign and date at the bottom of this form.
I give my consent for images of my child to be used in connection with the promotion of the work of Includes Us 2 *
Consent and data sharing: Includes Us Too will always store your personal information securely and use it only to deliver our services and support. If your child attends our activities, groups, or events, we may be required to share limited, relevant information with organisations, such as Kent County Council (KCC) and others that fund our charitable work. This is usually for monitoring, reporting, safeguarding, or evaluation purposes and may include information such as age, location, attendance, and outcomes. We only share what is necessary. will never share your personal information for marketing purposes and will not sell your data. By joining as a member, you consent to Includes Us Too using your information to provide services and support, Sharing limited information with funders or partners where required or contacting you with relevant information about our services, groups, and events. You can withdraw consent or update your preferences at any time by emailing info@includesus2.org.uk.*

I agree
Signature
Should be Empty: