ARE YOU an INTERESTED (Please Tick As Many Boxes As Applicable)

Membership Form

Membership is free and open to all individuals and organisations who are interested in supporting the aims and objectives of the group.

PLEASE PRINT

NAME

ADDRESS

TELEPHONE NUMBER

E-MAIL ADDRESS

ARE YOU AN INTERESTED (Please tick as many boxes as applicable).

PARENT / CARER

TEACHING PROFESSIONAL

HEALTH PROFESSIONAL

OTHER (please specify)…………………………………………………………………………………………

Where did you hear about SCILL?

Press & Journal SCILL Poster Non SCILL Member SCILL Member 

Deeside Piper School Health Professional 

Other (please specify)…………………………………………………………………………………………

AREA/S OF SPECIFIC INTEREST

e.g. Dyslexia / Dyspraxia / DCD / ADHD / Autistic Spectrum / other-please specify

Age range(s) of interest 0-5….5-11….11-16…. young adult….

SCILL will hold membership details for the sole purpose of communicating with its members. No contact information will be passed to individual members or other organisations without prior consent.

In signing this form you are agreeing to your records being held by SCILL and that you do not object to this.

Becoming a member of SCILL also gives you membership of the SCILL library. Up to 4 Items may be borrowed for one month, renewable by email for a further month,up to a maximum loan period of three months. Any lost books will be charged at the replacement value and signing this form means you agree to these terms. Books can be returned to our monthly coffee mornings, see our website for dates or to Hill of Banchory Primary school office during term time or to any Aberdeenshire library branch. Items returned to a library must contain our returns flyer so the libraries knows to return the books to Banchory.

SIGNED ______DATE______

Return to: / SCILL Membership Secretary C/O Sue Rhodes
Woolmill, Mill of Craigievar, By Alford, Aberdeenshire, AB33 8JE.

SCILL registered Scottish Charity SC 034715

tel0791 332 6816 email: