Join our new babies and toddler group If you have a child aged three or under this group is for you! Joining will help you connect with other parents and be the first to hear our latest advice to help you and your child stay well this winter. If you sign up before the 31st October you could win one of 3 Fledglings vouchers worth £50 Please remember to press the SUBMIT button at the end. We will look after your details in accordance with our data protection policy. First Name Last Name Postcode Email Address Telephone Number What year was your child born? 2021 2020 2019 2018 2017 Please select your child’s primary diagnosis or condition (or tick undiagnosed if you are awaiting diagnosis) Please select ADHD Autistic Spectrum Condition Cerebral palsy Down’s syndrome Hearing impairment Heart condition Hemiplegia Learning disability Multisensory impairment (both visually and hearing impaired) Physical disability Rare condition Speech, language or communication difficulties Social, emotional or mental health difficulties Undiagnosed Visual impairment Other Prefer not to say What is your relationship to your child? Mother Father Foster parent Grandparent Other Which ethnic group do you consider yourself to belong to? Please select Bangladeshi Chinese Indian Pakistani Asian other Black African Black Caribbean Black other Mixed White/Asian Mixed White/Black African Mixed White/Black Carribean Mixed other White British White Irish White Gypsy/Traveller White other Any other Prefer not to say We may use data to report to our funders and to improve our services, any data will be used confidentially and anonymously. Please tick here to consent for us to use your data in this way. Yes No Submit