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Do you want to become part of our mASCot Support Network?
Do you have a child/children with ASC?
Do you live in Brighton and Hove?



                Please read our disclaimer and if you are happy fill in the form below to join our Forum

Please give Details about your situation in the 
'About yourself' section,

Please give us as much information as you can, or as much as you want, so we have an idea of where you need support, what concerns you have or why you would like to be part of mASCot. please note that these details will only be seen by our admin team.

Thank you and we look forward to you being part of mASCot.


Once we have received your form we will send you an email and invite you to our private facebook group. This may take a few days but you will be hearing from us.


JOINING mASCot
First Name
Surname
Email Address
Home Phone
Mobile Phone
Address
Childs/Young Adults Name
Child/Young Adults gender
Child/Young Adults Date of Birth
Childs / Young Adults School
Diagnosis
None
Being assessed
ASC
Aspergers
ADHD
PDA
About Yourself and your child and why you would like to join mASCot. This section needs to be filled in.
Have you read our Disclaimer
Yes
No
Where or how did you hear about mASCot
Are you happy to receive our Newsletter a few times a year