Register to join the Autism Berkshire Walking Group

    To register an interest in becoming a member of the Autism Berkshire Walk & Talk group for autistic adults, please complete and submit this form – our team will contact you.




    Telephone number

    Email address


    Which council area do you live in? *

    If you answered Other above, please give the council name


    Referral from (how did you find out about/who told you about our service?)


    Additional needs (please tick all that apply) *

    If you answered Other above, please give details


    Support/social workers’ details (if applicable):


    Telephone number

    Email address


    Voluntary Donation to the running costs of the walking group (please tick to indicate if you have made a donation)


    I consent to Autism Berkshire storing my details on a secure database and contacting me about (please tick all that apply)


    I am happy to be contacted by (please tick all that apply):

    Your confirmation:


    Privacy and data protection

    Personal information you submit using this form will be treated as confidential and stored securely. See our privacy policy for more information.