Registration - Riding the Rapids

top of page

Home
About Us
Who We Support
How to Support
Hire Our Spaces
Our Latest Updates
more...

Use tab to navigate through the menu items.

Riding the Rapids Enquiry Form

Riding the Rapids is currently FULL. If you'd like us to contact you about future courses, please provide your details below.

Parent/Carer 1

First name*

Last name*

Email*

Phone*

Preferred Contact Method*

phone

Last name

Address (if different)

Email (if different)

Phone (if different)

Preferred Contact Method

phone

Child's Details

note: this course if for parents/carers of primary school aged children with an autism diagnosis or on the pathway for autism assessment.

First name*

Last name*

Date of birth*

Day

Month

Year

Address (if different)

Contact email and phone - if different from above

Education

Is your child educated at home?*

Yes

If No, please provide your child's school name and address

Health

Name of GP*

GP address*

GP telephone number*

Is your child Autistic or are they on the pathway for an Autism assessment?*

Yes

The Course

What would you like to get out of Riding the Rapids?

Can you commit to a 10-week course and tasks in between sessions?

Yes

Do you have any specific support needs that we need to be aware of e.g. accessibility, communication preferences. Please let us know so that we can best support you during the course.

WF14 0QL

find us:

Northorpe Hall Child & Family Trust

53 Northorpe Lane, Mirfield

phone: 01924 492183

email: support@northorpe.com