Sibling Service consent form

Thank you for wanting to know more about the Sibling Service (Sibs). This service helps children who have a brother or sister with a disability.

Please fill in the form below to add your child’s name, date of birth, and contact details to the Sibs list. Remember, this child must not be able to get other disability services.

Use a new form for each child you want to add.

To learn more about how we use your data for the Sibs service, please read our privacy notice.

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About the brother or sister (sibling)

Sibling's first name *

Sibling's surname *

Sibling's date of birth *

Day

Month

Year

Sibling's address *

Building and street

Town or city

County

Postcode

About the disabled child

First name

Surname

Please give details of the disability

We will use this information to select suitable sibling activities

Your contact details

Landline number

Mobile number

Email address

Your consent

First name

Surname

Date

Consent for storing submitted data *

I, hereby give consent for my child to be included on the Sibling Index and will therefore be informed of appropriate sibling activities provided by the Children's Disability Service.

Data protection

By clicking submit, you are agreeing for your child's details to be added to the Sibling Index. With regard to Data Protection we will hold this information for as long as your child is offered a service or until you wish to have it removed. We work in partnership with local healthcare trusts and independent agencies to provide a cross range of activities for the various age groups. Please let us know if your contact details change so we can keep you updated.

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