Become a Member

Parent/Guardian Name:

Address:

Your Email:

Phone:

Diagnosis:

Source of Diagnosis

What would you like to accomplish from the Group:

Suggestions of Issues you'd like to address through the group:

How did you hear about us?

Are you interested in attending our monthly group meetings?

Would you like to receive text messages?

Would you like to receive emails?

Would you like to join our whatsapp group?

Do you consent to pictures from events and activities being published on our social media and Website platforms?

I agree to the handling of my data in accordance with the
South Tipperary Autism Parents Support Group Privacy Policy.

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