Contact or Join Us

JOIN US

You can join the Foundation for free by filling in the form below. By becoming a member of the Foundation you receive our quarterly newsletter that is packed with information on Asperger's Syndrome and upcoming events. If you also give us your email address you can receive important information as it comes to hand.

We only post locally so you need to be living in New Zealand to register. If you are from overseas and would like information then please go to the contact us page and send us an email detailing how we can help you.

All information is held confidentially by the Cloud 9 Children's Foundation and will not be released to any other organisation without prior consent.

ALL THE FIELDS MARKED WITH A * ARE REQUIRED

 

Personal Details
First Name:* Last Name:*

Address:*

Please include city
Phone (home):* Phone (work):
Mobile: Fax:
Email:

 

Are You?
A person with Asperger's Syndrome  A parent / grandparent / caregiver
 A teacher  A health care professional
Other:

What Age Is The Child That Has / Might Have AS? (If applicable)
YOU MAY TICK MORE THAN ONE
Under 6  6 - 10 years
 11 - 14 years  15 - 20 years

 

Would You?
Like to receive information on Wellington region based events?
Be willing to start up a support group?

 

Do You?
Already belong to a support group ... details: 

 

Referral:
Where did you find out about the Foundation?

 

Database of Support for Asperger's In NZ:
If you know of any heallth care professional, support group, school, literature, website or have any other contacts we could consider adding to our database, please list them:

 

THANK YOU FOR YOUR TIME. PLEASE CLICK SUBMIT!