AUTSOME - AUTISM FRIENDLY SHOPPING DAY
REGISTRATION FORM

Be our Autsome Member today!

Hi Mom & Dad's!

This is a REGISTRATION FORM to sign up your child as our Autsome Member. All information is required to be completed before you collect your Autsome Kit.

Only children who are diagnosed with Autism Syndrome Disorder (ASD) is applicable to register.

Once this online registration is completed, kindly collect your Autsome Kit at Sunway Carnival Mall's Concierge, 2nd Floor.

As an Autsome Member, your child may enjoy the privileges (only applicable on every Tuesday*) below:
- Shopping Privileges
- Priority Lane at participating outlets

Autsome Facilities (Available Daily):
- Calm Rooms (2nd Floor, next to Old Town White Cofee)
- Sensory Wall (2nd Floor, next to Mr. Toy)

Kindly visit Autsome page for more details.

*Except Public Holidays

PARENT / GUARDIAN DETAILS
${child.name?child.name.toUpperCase() + "'s DETAILS":"CHILD DETAILS"}

I am at least 18 years of age. I have read and agree to the Terms and Conditions.

I have read your Personal Data Protection Notice under the Personal Data Protection Act 2010 “Privacy Notice” ([refer https://www.sunwaymalls.com/privacy-notice ]).

I consent to the processing of my personal data (including sensitive personal data) pursuant to the Privacy Notice and this Form.

For the personal data of other individual(s) which I have provided to you in this Form, I confirm that the individual has read the Privacy Notice, and that: (1) he/she consents to the Privacy Notice and this Form; or (2) I have the legal authority to provide consent on that individual’s behalf (where he/she is below 18 years of age or legally incapable of providing consent).

"Sales and Marketing" means to carry out data analytics, and to send you marketing and promotional material.
Sunway Entities" means the entities stated in the Privacy Notice as being a Sunway entity."

GETTING HERE

SUNWAY CARNIVAL MALL

3068, Jalan Todak, Pusat Bandar
Seberang Jaya, 13700 Seberang Jaya.
Pulau Pinang

Tel : 604 – 2020 128
Fax : 604 – 3979 883

Operating Hours:
10:00 AM - 10:00 PM (Daily)
 

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