Quiz hour - 11 February registration form

Quiz hour -17 February 2-3pm

Complete the fields below and we will email you with details of how to log on
Name *

First Name Last Name
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
Where did you hear about the Five Ways to Wellbeing course? *

Carers in Beds Social Media Carers in Beds Website Through another organisation Word of mouth Through my support worker
Let us know a song that means something to you
If you are anxious about sharing in a group please let us know here, you are very welcome to join anonymously on the day, we will not draw attention to you during the session
Anything else you would like to tell us?

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Quiz hour -17 February 2-3pm