Membership Application Form

Please use this page to register as a member of ChAPS, thank you.

Contact Details

Main Office: 0344 850 8607

Po Box 155

Runcorn Office

The Old Police Station
Mersey Road

Northwich Training Room

Room G6 Northwich Business Centre
Meadow Street

I would like to be registered as a member of ChAPS either as a family membership or as an adult on the spectrum in my own right.

In accordance with the General Data Protection Regulations and Data Protection Act, we attach a Privacy Notice which informs you of the types of data we process about you. It also includes the reason for processing your data, the lawful basis that permits us to process it, how long we keep your data for and your rights regarding your data.

Please tick the selected box.

Please find attached our Data Protection to download and view.

I have read the ChAPS Privacy Notice and consent to my data being held and processed as outlined.

Membership supports us to provide all the services we offer, and the suggested minimum is £10.00 per month per family payable by standing order. If you are an adult on spectrum with no dependents, the suggested minimum donation is £5.00 per month. Families in financial difficulty may be offered free membership. Please email Carey on for further information. Our bank details are as follows:-

Natwest Cheshire Autism Practical Support Ltd
Sort Code 600830
Account 63126990
Reference Your surname and first name please.

Please note: Your membership will not be processed until we see your first payment hit our account

Membership runs alongside the calendar year 1 January to 31 December.

To help with funding all our numerous activities we also ask members to sign up to Gift Aid their donations.

Gift Aid Declaration

I wish to give all subscription donations that I make from the date of this declaration as Gift Aid donations to ChAPS.

I understand that I must pay an amount of Income Tax or Capital Gains Tax for each tax year running 6 April to 5 April that is equal to the amount of tax that ChAPS will reclaim on any gifts of money received for that tax year.

Please notify ChAPS if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income or capital gains.

Lastly we look forward to welcoming you as a new member of ChAPS and meeting you and your family at one of our many activities, thank you for your support.

Inspiring families to achieve more

If you need further information or advice please contact us on: 0344 850 8607 or

0344 850 8607

ChAPS Po Box 155 Frodsham WA6 1BW

Charity Registration No.1149624 Company No.08262460

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