SCAMPPS IN SURREY
Striving for Children's Additional Medical, Physical and Personal Support

Register with SCAMPPS

If you would like to become a member of SCAMPPS please fill in your details below and click on the ‘send’ button at the end. Your details will be sent to the Membership Secretary who will then confirm your membership via email.

By becoming a member of SCAMPPS you will receive copies of the quarterly newsletter and be advised of social events. News and information, considered to be of interest, is also passed onto members.

The details that you supply are kept on an offline database and are only used by SCAMPPS. Your personal information is not stored online and so cannot be accessed via the Internet.

Name

Address 1

Address 2

Town

County

Post Code

Phone

Please tell us how you heard about SCAMPPS:

Please choose relevant membership category:

	Family Member (a family who have one or more children with complex or special needs)
	Current JOG Attendee
	Professional Member (for example a Doctor or Therapist etc.)
	Associate Member (for example a person who has donated money to or raised funds for SCAMPPS)

We like to know about our families so it would be helpful if you could supply the following information, although it is not necessary to secure membership. We ask for this information so that we can serve you better, for example by directing specific news and information to the families that it may be more relevant to and organising appropriate events etc.

The children in your family:-
Please tell us about any children in your family with complex or special needs by supplying their name, year of birth and diagnosis details:-

Please also tell us about your other children by supplying the names and years of birth for siblings:-

Photo Consent

In addition to our newsletter, there are occasions when SCAMPPS will use photographs for publicity and news displays at events like our Spring Ball etc. Some photos are supplied by our families or may have been taken at our events. Our web site may also contain photos without identifying names.

We have an Opt-Out Photo Consent Policy. If you object to photos of your child or children being used, please write to us at anytime via SCAMPPS in Surrey, PO Box 503, Epsom, Surrey, KT17 9DE with the relevant details. Thank you

Don’t forget … If you’d like to make a donation, you can send a cheque (payable to SCAMPPS) to SCAMPPS in Surrey, PO BOX 503, Epsom, Surrey, KT17 9DE or make a donation online using the PayPal link.