The Wellness Wheel 10 May Registration Form
Complete the fields below and we will email you with details of how to log on
Name
*
First Name
Last Name
Carers ID Number
Email address
*
What is your postcode?
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
Which session you you like to join
10 May - 14.00-15.30
10 May - 19.00-20.30
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 Wellness Wheel course?
*
Carers in Beds Social Media
Carers in Beds Website
Through another organisation
Word of mouth
Through my support worker
Email from Carers in Bedfordshire
Quarterly Bulletin from Carers in Bedfordshire
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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