Membership – Sign-Up Today!

Please fill in the form below to become a member (FREE).

Join For Free Today: Fill in the form below to become a member of Disability Partnership Calderdale. Membership is FREE and open to people with disabilities. Friends, families and carers are also invited to fill in the form. They will receive all our communications, including newsletters and event invites.

Need help filling in this form? We can do it for you!  Email, text or leave a message and we’ll call you back and fill in the form for you – Tel: 07716122897  email: info@disabilitypartnershipcalderdale.org

Join Today: Apply to become a member of Disability Partnership Calderdale. Membership is FREE and open to people with disabilities.

Friends, Family & Carers: Friends, families and carers are also invited to fill in the form. They will receive all our communications, including newsletters and event invites.

Why we need this information: We understand that the application form asks you for a lot of personal information about yourselves. The aim of this is to ensure that we can target our services better to our members, and this information will be treated as private and confidential. Many of the questions are “optional”.

Membership Application Form

I am not a person with a disability, but I am interested in being added to our email list. I am (Please tick one)

Age(required)

We send out regular newsletters and details of upcoming events and membership meetings. How would you like to receive them? Please tick only one box.(required)

Your Disability - If you are a person with a disability, please tell us about your disability, as this will help us to support you and other disabled people. This information will be kept securely and not shared with any other organisation. If you consider yourself to be disabled, what is the nature of your condition?

What is your gender? (optional)

What is your sexual orientation? (optional)

Do you belong to a religion?(optional)

What is you ethnicity? (optional)

Data protection: Information provided on any part of this form will be used to help us to help disabled people in Calderdale. By signing this form, you agree to become a member of Disability Partnership Calderdale and for us to keep your information. Your information will be safely stored on our database and in our Mailchimp account (for the purposes of sending our email newsletters only). We will not share it with any other organisation and you can ask us to delete your data at any time by contacting us Tel: 07716122897  email: info@disabilitypartnershipcalderdale.org or by choosing the “unsubscribe” option at the foot of all our emails.