Surrey Coalition of Disabled People

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Joining form

Section 1. Member contact information

Section 2. Membership type and information

Section 3. Interests and groups

Please tick those you wish to receive information about

Groups you would like to join (plese tick those you’d like to receive information about):

SECTION 4: Communication & Mailing Preferences

In accordance with the Data Protection Act of 1998 and GDPR 2018, all information provided on this form and in any further dealings with Surrey Coalition will be treated as confidential and will not be disclosed to any third party without express consent from you. However, it is important that you understand that on occasions organisations are obliged to share certain information, for example if an individual is at risk to self or others, and we may be obliged to share your information with Surrey Multi Agency Safeguarding team; Vulnerable Adults team; Child Protection team; other staff; Service’s Regulator(s) and other agencies. Should this need arise we will make every effort to discuss this with you prior to any information being shared.
I confirm I have read, understood and agreed with the statement above and I give permission for Surrey Coalition of Disabled People to store and use my personal data with the intention of coordinating my involvement in the activities of the organisation and to send me a regular newsletter and general updates that might be of interest to me. I understand that in the unlikely event of Surrey Coalition of Disabled People going into liquidation, I may have to pay £1.00 towards its liabilities

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