Membership Application Dyslexia Cornwall complies with the Data Protection Act of 1998 and General Data Protection Regulation 2018. Dyslexia Cornwall does not divulge personal information to other parties without prior consent. New User RegistrationChoose a Username*First Name*Last Name*Address 1*Address 2Address 3City*County*Postcode*Phone/Mobile*Email*Is your child dyslexic?---- Select One ----YesNoDon't KnowAre you dyslexic?---- Select One ----YesNoDon't KnowAre you a professional working with dyslexics?---- Select One ----YesNoWhere did you hear about us?---- Select One ----Word of mouthDyslexia WorkshopAdvise day/student fairOtherIf Other, please let us know howMembership is free but we always welcome any donationsDonation method (Please make cheques payable to Dyslexia Cornwall. For cash or BACS please return form and we will contact you. For JustGiving please see link on homepage.)---- Select method ----ChequeCashBACSJustGiving - See link on homepage I consent to having 'Dyslexia Cornwall' collect and store my details entered into this form. For further details please view our Privacy Policy using the link at the bottom of the page.**Required field