New Member or Membership Renewal? (Please choose)*
New MemberMembership Renewal

Full name*

Address*

Town*

Postcode*

Telephone*

Your email*

Childs name*

Childs date of birth*

Ethnicity

Has your child received a formal diagnosis of ASD, Asperger’s Syndrome or other related condition? Please state*:

Names of 2 main carers*

Name and date of birth of all children that may attend OASIS Playdays (immediate family members only)*

Where did you hear about OASIS?

Why do you want to join OASIS? How can we help you?

It is OASIS policy that where we are planning to use an image (photograph or video film) for materials in the public domain, consent must be obtained by the appropriate person. OASIS use images in a range of materials to promote the charity and illustrate the work we do. This includes (but is not limited to) leaflets, posters, the website and social media. Please read the consent form (link below) and indicate whether you consent to the OASIS image policy.
YesNo

Please enter the code above

Please leave this field empty.