Register

Thank you for choosing to register with us. We're here to help!

Photograph showing two blatchington court trust clients standing on a country path in front of hills

Before you register

Before starting your registration, be sure that you're eligible to register.

You're eligible if: you (or the person you are registering on behalf of) is registered or registrable as sight impaired (SI) or severely sight impaired (SSI), aged 29 or under and live within Sussex.

Not eligible? Don't worry! We may still be able to help you by signposting you to other services and support. Please contact us.

The process of registering online may take up to ten minutes. Once complete, a member of our team will be in touch to welcome you and provide any further information or support. If you require additional support to complete the registration, please contact us so that we can assist you.

Please note, if you are registering on behalf of somebody else, you must obtain permission from them prior to registering.

About you

If you are registering on behalf of somebody else, please include their information in this section.

Title *

Forename *

Surname *

I prefer to be called

Gender identity *

Date of birth *

Ethnic group

Making a referral?

If you're registering on behalf of somebody else, it's important that we know a little bit about you (the referrer) too as we may need to contact you to obtain more information about the applicant.

Please indicate whether you are making a referral, such as from an agency or another organisation.

Forename *

Surname *

Job title *

Organisation *

Telephone/mobile *

Email *

Your contact details

Please be sure to provide accurate contact information so that we can get in touch with you. If you are registering on behalf of somebody else, please include their contact details.

Name *

This is the name we will use when contacting you. By default this is your forename and surname that you provided above. If you are a parent/caregiver of the applicant, in some cases it is more helpful to provide your name.

Relation to applicant

Please indicate your relation to the applicant e.g. Mother, Father. If you are registering on behalf of yourself, you do not need to indicate a relation.

Street line 1 *

Street line 2

Town/city *

County *

Postcode *

Telephone

Mobile

Email *

How would you prefer to be contacted by us? By not indicating your preference, it is assumed you are happy to be contacted via any of the below methods.

By email

By telephone

By mobile

By post

Your sight impairment

It's important that you tell us about your sight impairment so that we know how best to support you. We appreciate that you may not be able to answer all of these questions, but please try to provide as much information as you can.

Eye condition *

Registered as *

Severity *

Year of diagnosis *

Additional information

It's helpful for us to understand as much as we can about how your sight impairment affects you so that we know how best to support your specific needs. It can also be helpful for us to know about any other needs you may have.

Your education

We are dedicated to promoting education throughout our range of services, so it's helpful for us to know about your school/college/university so we can offer appropriate support for you.

Name of school

This could be a school, college or university.

Year joined

Name of QTVI

A QTVI is a Qualified Teacher of Children and Young People with Vision Impairment that offers support to students as part of your local authorities educational support services.

Name of SENCO

A SENCO is a Special Educational Needs Coordinator within a school who is responsible for assessing, planning and monitoring the progress of children with special educational needs and disabilities (SEND).

Additional information

Please provide any additional information that you feel may be helpful for us to be aware of in relation to your education.

Your employment

We are dedicated to promoting employment throughout our range of services, so it is helpful for us to know about your employment.

Employment status

Name of employer

Job title

Year joined

Additional information

Please provide any additional information that you feel may be helpful for us to be aware of in relation to your employment.

How can we help?

Our services cater for a wide range of needs and it's important that at this stage we are aware of any services in particular that you require. Please select one or a number of services from the options, giving additional information if necessary.

Benefits advice

Grant making

Counselling

Educational advocacy

Events & activities

Additional information

If you have selected one or a number of services, please give any additional information that you feel may be helpful for us to know in relation to your selection(s).

Stay in the know

Subscribe to our mailing list to receive our monthly newsletter and keep up to date with all of our latest news, events and information

I would like to subscribe to the mailing list to receive updates about the latest news, events and information.

Forename *

Surname *

Email *

Your privacy

Your privacy matters to us. Please take some time to read, understood and agree to our Privacy Policy that explains how we collect use and share your information.

I have read, understood and agree to the Privacy Policy.

Before you submit

If you haven't already, please take a moment to double check that the information you have provided is correct, then press submit when you are ready.

After pressing submit, any errors that occur will be shown below. Please correct these errors before re-submitting.

Errors

Oops! Please correct the following errors then re-submit your registration.