Youth 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 11+ year old:

Gender of 11+ year old:

Male

Female

Other

Phone

Address

Where did you hear about FASD Awareness? Choose an option:

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