Register for our clubs Name of Child / Young Person Child/Young Person's Date of Birth Select Club/s interested in Select Club/s interested in Gap Club: For children aged 9 - 13 Fusion Club: For young people aged 13 - 25 Arts and Crafts Club: For young people aged 14 - 25 Console Gaming Club: For young people aged 16+ Do they have a diagnosis on the autism spectrum or are they on the diagnostic pathway? Name of Parent/Carer Parent's Email Address Parent's Mobile No Home address of participant Postcode School/college attended Level of support provided/needed 5 + 6 = Submit “Trainers so knowledgeable and friendly – thank you” “An amazing service” “Help at last – thank you”