FASD Awareness Adult Friendship Group Registration Form

In which capacity is your interest in FASD?

Please enter your details below then scroll to the bottom to submit your registration form. If you have any questions, please email supportgroup@fasdawareness.org.uk

First name

Last name

Email

Age of 18+ year old:

Contact Phone Number

Home Address

Do you or the person you support have a suspected/pending or confirmed FASD diagnosis?

Yes - Suspected

Yes - Pending

No

Other

Please provide a brief background on your relationship/journey with FASD.

I would like to subscribe to the mailing list for information and updates

Your privacy

By submitting this form you are giving consent for FASD Awareness to retain this information inline with our Privacy Policy. We promise to keep your personal details safe. You can change how we contact you at any time by contacting us at info@fasdawareness.org.uk or 01634 566 323. To see how we protect and use your personal data read our PRIVACY POLICY