Positive Pals

Friendship Groups

Triple A Positive Pals is a safe place for autistic adults to meet, make friends and socialise. Each group currently run once a week at various locations throughout Cumbria, currently in:

Penrith
Carlisle
Whitehaven
Kendal
Barrow
Maryport

Please complete this form if you would like to join our Positive Pal groups.

Name *

Date of Birth *

Address *

Email Address *

Telephone Number *

Preferred Method of Contact (Please Select) *

Hobbies or Special Interests

Do you have a diagnosis of Autism? (Please Select) *

Do you have any disabilities that we should know about? *

Are there any allergies that we need to know about? E.g nuts, bee stings *

Which group would you like to join? (Please Select)

What would you hope to gain from joining Positive Pals?

How many people are you comfortable meeting with in a social setting? (Please Select)

Are you able to attend groups without a support worker? (Please Select) *

Are there any issues that you would not like to talk about in the group?

Please use this space to tell us anything you would like the group to know/not know about you

Do you have an Autism Alert Card? (Please Select) *

Confirm *

Tick this box to sign the form

Privacy Notice:

Your details will be kept in accordance with Data Protection Act 2018 and the GDPR (General Data Protection Regulation) and will be held securely and confidentially