Membership – together we’ll be heard

GHITA unites all those with an interest and acts as a collective voice.

 

Our members are from or have a connection with Gibraltar. We have direct experience or a family member with a Hearing Loss1Many are professionals working in the field, are learning British Sign Language or simply believe in our cause.
By becoming a member you add weight to the pressure we can bring to bear to make the changes we all want.
We welcome anyone who supports our aims:

    Name:*

    Date of Birth:

    Gender:

    GHA Patient Number:

    Email:*

    Address:

    Mobile:

    Phone:

    Do we need to contact you in a different format (e.g. large print)? If YES, in what way?


    Declaration & Consent

    I confirm I have read and understood the Data Privacy Notice*YesNo

    I agree to my data being stored and processed by GHITA*YesNo

    I agree to abide by the Constitution, Membership Policy and Disciplinary Policy*YesNo

    I agree to be added to the GHITA mailing listYesNo

    I agree to join the Gibraltar Health Authority Hearing Loss Register and allow GHITA to share my personal information with themYesNo

    I agree to my name, mobile number and GHA patient number being given to Gibraltar Health Authority, so they may register my details on their text messaging (SMS) systemYesNo

    I agree to my name, mobile number and address being given to the Gibraltar Emergency Services, so they may register my details on their text messaging (SMS) systemYesNo

    signed -

    Name

    Date

    If you have any questions, please