Membership form

Membership type

Select a membership type

Full membership (Disabled people) Ally membership (non-Disabled supporter)

Your details

First name

Last name

Email address

Year you were of born (optional) This helps us understand what communities we are reaching.

First three letters of your postcode (optional) For example, BS1. This helps us understand which areas of Bristol we're reaching.

Staying in touch

How would you like to hear from us?Select all that apply

Email newsletters and updates Postal newsletters and updates Text event updates

If postal, please add your full address here

Phone number

Barriers you experience

This section is optional. Theses questions help us understand the issues people face in Bristol so we can improve our work, share relevant opportunities and show funders and decision makers what matters to our community.

Are you able to access the support, services or opportunities that you want or need? (optional)

Yes No Maybe Prefer not to say

Do you have a particular marginalised identity or lived experience? (optional)If you share more than one characteristic, please tick all that apply. You do not need to give more detail than this. This information helps us to understand if we are representing all parts of the Disabled people community.

If you selected 'Other', please tell us more (optional)

Do you experience barriers in any of these areas? (optional)

If you selected 'Other', please tell us more (optional)

Do you feel included in your community? (optional)This could be your local area, the wider Bristol community, the Disabled people community or a specific community you belong to.

Yes No Maybe Prefer not to say

Please read our members agreement and privacy statementbefore continuing.

By joining BDEF, you agree to follow our members agreement.

I agree

By submitting this form, you confirm the information you've provided is accurate to the best of your knowledge and acknowledge that BDEF CIO will process your personal information in accordance with our privacy statement.

I confirm and acknowledge

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Your details

Staying in touch

Barriers you experience

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