Become A Base Member
The Base offers a wide range of activities for young people with additional needs and their families, so why not consider becoming a member.
The Base Membership Form
1
Child Membership Details
2
Family Contact Details
3
Other Details
4
Consents
5
Parent/Guardian Sign Off
Child 1 Membership Details
Child 2 Membership Details
Child 3 Membership Details
Child 4 Membership Details
Family Contact Details
Other Details
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