Autism Jersey Online Membership Form

If you would like to become an Autism Jersey member, please complete the online application form below. Alternatively, you can download and complete our printable membership form using the button below and return it to us.

Once we have received your application, you will receive a confirmation email. Your application will then be reviewed by our Board of Trustees, who will contact you to confirm the outcome of your membership application.

If you have any questions or queries regarding the application, please contact:

Oliver Etienne, Secretary

Phone:

Email:

Members can help influence how we operate as they have voting rights at our AGM. There is no financial obligation.

I wish to put my name forward for membership of Autism Jersey.

Data Protection (Jersey) Law 2018 declaration:

The information collected from you on this form will only be used for the purposes of administration and monitoring of your membership and will not be disclosed to anyone unless required by law, or by getting your agreement beforehand.

Autism Jersey is a Jersey Registered Charity No. 32. A Member of the Association of Jersey Charities Membership No. 268.