Register for a Reading Carers’ Card

    To register for a Reading Carers' Card, please complete and submit this form – our family support team will contact you. Please note that you must live in Reading to apply for the card.

    If you would like your picture to appear on your card, please email a passport-sized head and shoulders photograph to us at contact@autismberkshire.org.uk

    First name and surname

    Address

    Postcode

    Telephone number

    Email address

     

    Please tick to confirm

     

    Privacy and data protection
    Personal information you submit using this form will be treated as confidential. See our privacy notice for more information.