Family Membership Form

Previous Members

We need to ensure all the information we hold on file is current. Therefore we politely request that you complete our online membership application form below, so we can update our database.

We don’t believe that any family should be out of pocket for the time we have been closed. If your membership was up-to-date in March 2020, we will automatically extend your renewal date by the remaining time. If your membership was due for renewal during or before February 2020, your membership renewal fee will be due on your next visit.

If you would prefer to complete a paper copy of the form, it can be downloaded here. Printed copies of the form can be attached to an email as a jpeg and sent to info@pathways4all.co.uk or in the post to the Tim Lamb Centre.

Our annual membership renewal fee will remain at £15 per family.

New Members

If you would like to join for the first time, please complete the online form below or download a copy ready to bring with you. On your first visit, you will be required to present evidence of your child’s disability / additional needs, (e.g. letter from a SEND professional) and pay the £15 annual family membership fee.

Family Membership Application

All questions marked with an asterisk (*) require an answer.

Did you have a Pathways 4 All membership before the March 2020 lockdown? *

Yes

If yes, please provide your membership number if known.

Member Details

If you have more than one disabled child in your household, please provide details of your youngest disabled child.

Child's forename *

Child's surname *

Child's date of birth *

Name of college, nursery or school (or pre-school/ home ed) *

Any siblings? (under 18) *

Yes

If yes, how many?

Do any siblings also have disabilities/ additional needs?

Yes

If yes, how many?

Child's disability/ additional needs*

Physical disability

Learning disability

Sensory impairment

Communication difficulties

Health needs

Social /behavioural

Autism/ ADHD

Other

If other selected, please specify

Parent/Carer Contact Details

Parent/ carer forename *

Parent/carer surname *

Home Address *

Town *

Local Authority Area *

Postcode *

Email address

Phone number *

Alternative phone number

Terms and Conditions

Please check button to agree *

Pathways 4 All take your privacy seriously and will only use your personal data for our internal membership records. We will not share your details with any other organisation. Please tick to consent to us securely using and storing your information in line with our Data Protection Policy and Privacy Notice.

I have read the terms and conditions below and agree to adhere to them

View Terms & Conditions

Pathways 4 All is a registered charity providing play facilities and social opportunities for 0-25 year olds with Additional Needs / Disabilities and their families.

The Tim Lamb Centre offers a safe, supportive, non-judgemental environment exclusively for our members.

If you have any questions, suggestions or concerns during your time with us please speak with the office staff.

All children must be accompanied by a responsible adult, over the age of 18, who must remain in the centre at all times.

Staff / volunteers may support activities to help maximise your children’s enjoyment, they are not however a replacement for parental supervision. Pathways 4 All does not accept responsibility for the supervision of children, except during supervised play sessions (i.e. playscheme).

Please respect all users of the centre and be tolerant of all individual needs and behaviours.

Parents/Carers should note that whilst every consideration has been given for the safety of children using the centre, Pathways 4 All cannot be held responsible for accidents which occur as a result of children playing on the equipment.

Please respect the equipment and building, ensuring areas are left tidy when leaving them.

Please report and accidents, incidents, or breakages to the office as soon as possible.

Please be considerate of others privacy if taking photographs in the centre, these should include only those you have permission for i.e. your own family/friends, particularly when sharing on social media.

Only food bought in our café should be eaten in the centre, unless permission is sought for special circumstances. This does not apply at the times when our café is not open (i.e. 10am - 2pm term time)

Smoking, including e-cigarettes, drug or alcohol use is not permitted in the centre or within the Rising Sun Country Park.

Abusive language, violent behaviour or wilful damage or theft will not be tolerated at any time.

________________________________

Failure to adhere to the terms and conditions could result in you being asked to leave the centre or in extreme circumstances your membership being cancelled without refund.

Contact Permission

We send out a monthly email containing all the latest news and events from both the Tim Lamb Centre and our charity Pathways 4 All.

New activities and special events are normally published via our email bulletin first.

Would you like to subscribe to our email news bulletin? *

Yes

Email address if different from above

Photograph Permission

We occasionally take photographs during activities and events. These may be shared for charitable purposes including Facebook page, website, email bulletins and flyers/other printed material.

I consent to photographs on behalf of my child(ren) *

Yes

If yes, please give names(s)

I consent to photographs on behalf of my myself *

Yes

If yes, please give name

Electronic Signature:

How did you first hear about us?*

Family/friend

SEND event

School

Social Worker