Join Our Branch

Becoming a Branch Member enables us to ensure you are kept aware of all our Branch organised activities, many of which are subsidised from Branch funds. As well as having access to our Branch website, members also receive our seasonal Branch Newsletter, either by email or paper copy updating members on what your committee are doing.

Individuals who are members of Parkinson’s UK do not automatically become Branch Members. Parkinson’s UK does not automatically assign you to a branch or join you into that branch.

Becoming a Branch Member is simple, and there is no membership fee (although you can make a donation to Branch Funds at any time!). Carers or other family members should join separately.

Please complete the online membership form below. Alternatively, if you wish a hard copy version of the membership form to complete and post, then contact our Secretary: Karen Young.

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Title *MrMrsMsDrOther

First Name *

Last Name *

Please indicate your status *

• PD
• CS
• N/A

PD = I have Parkinson's / CS = I am a Carer or Spouse supporting / N/A = Other

Address *

Main Town Name *

Full Postcode *

Home Telephone Number *

Mobile Number *

Email Address *

Happy to be contacted by EMAIL or POST ONLY? *

• Email
• Post Only

The Branch Secretary sends out regular updates to you on our activities and services.

Parkinson's UK membership number OR N/A *

Add N/A if not known or not applicable

ICE - Emergency Contact Details *

Please let us know the Name and Contact details of someone we can contact in case of emergency should we need to.

Branch can call you on the phone? *

• YES
• NO

You will only receive calls from the Branch if needed, no cold calling.

I give my consent to publish (when needed only) *

• YES
• NO

Please indicate above if you give us your consent to publish occasional photos taken during branch activities to promote Cirencester and Stroud Branch of Parkinson's UK. You retain the right to request removal from the website of such photos at any time.

Data Protection Regulations (GDPR) I give my consent *

• YES
• NO

I understand that my details will be held with Parkinson's UK head office and this branch committee so that we can send you branch activity and update information. I give my consent to this in joining the Cirencester & Stroud Branch of Parkinson's UK. For reference here is the link to GDPR Privacy Policy: https://www.parkinsons.org.uk/about-us/privacy-policy

Reason for Joinng *

Please let us know here why you wish to join, what you would like to participate in i.e. social activities, therapeutic activities, sport, other.

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