Regular Activities Registration Form

Regular Activities Registration Form

Complete the fields below and we will email you meeting details nearer the time
Name *

First Name Last Name
Carers in Bedfordshire ID Number (If you know it)
Email address *
About you *

I'm registered with Carers in Bedfordshire I am a carer but not registered with Carers in Bedfordshire
Do you support someone who would not be able to manage without you?

Yes No
How old are you? *
What is your postcode?
If you are not registered with us would you like us to send you a link to our registration form?

Yes No
Which of these regular activities would you like to attend

Chair Yoga with Trish - Weekly on a Wednesday from 10-10.45am Armchair Yoga with Linda - Weekly on a Friday from 3-3.45pm Art for Wellbeing - Weekly on a Thursday from 11am-12.30pm
Walking Groups

1st Wednesday - Ampthill Park 2nd Wednesday - Houghton Hall 3rd Wednesday - Bedford Park 4th Wednesday - Henlow Park Men Only Walking Group - Wrest Park
Where did you hear about the Regular activities

Carers in Bedfordshire Social Media Carers in Bedfordshire Website Through another organisation Word of Mouth Through my Support worker Email from Carers in Bedfordshire Quarterly Bulletin from Carers in Bedfordshire Recovery College Prospectus Other
I hereby grant permission for Carers in Bedfordshire to capture my image/or my child's image in photography or film and/or make recording of my voice

Yes No
I further grant Carers in Bedfordshire the right to use my/or my child's imagery and/or recording in promoting the organisation on the website, in publications, on Social Media, Marketing materials, displays or in the Media

Yes No
Anything else you would like to tell us?

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