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    SNIX (Special Needs Index) - Data Collection Form

    The SNIX special needs index is the disabled children’s register for Northamptonshire County Council.

    The register is maintained by the Local Offer team who also manage the Local Offer website that provides information about services for children with special needs and disabilities in the county.

    By registering for SNIX, families can expect to receive a copy of the termly magazine that provides printed information about the Local Offer. More details are available on the website: the address is at the end of the form.

    Please complete as much information as possible in the form. If you need someone to help you, please ring 0300 126 1000 option 5 and our customer services will be able to help, or put you through to the Local Offer team during office hours.

    All fields marked with * are mandatory.

    Is this a new registration or an update of the details of an existing registration? *
    Is this a new registration or an update of the details of an existing registration?

    Child's details

    Gender *
    Gender
    Date of birth *
    Date of birth

    How does your child communicate? *
    How does your child communicate?
     
    What disability(ies) does your child have? *
    What disability(ies) does your child have?
     
    Is there a medical term for your child’s disability? *
    Is there a medical term for your child’s disability?
     
    Does your child’s disability affect any of the following: *
    Does your child’s disability affect any of the following:
     
    Does your child use a wheelchair? *
    Does your child use a wheelchair?
     
    Does your child attend a nursery or playgroup? *
    Does your child attend a nursery or playgroup?
    Does your child attend school? *
    Does your child attend school?

    Other children in the family

    Are there any other children in the family at this address?
    Are there any other children in the family at this address?
    Do any of these children have a caring role?
    Do any of these children have a caring role?
    Do any of these children have special or additional needs?
    Do any of these children have special or additional needs?
    Would you like to register this other child?
    Would you like to register this other child?
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    © Northamptonshire County Council

    All personal data we collect from you complies with the data protection principles. Read more.