Helping your Child Sleep better 26 May Registration Form
Complete the fields below and we will email you with details of how to log on
Name
*
First Name
Last Name
Email address
*
Carers in Bedfordshire ID number (If you know it)
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 Helping your Child Sleep Better?
*
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
The Recovery College Prospectus
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
I hereby grant permission for Carers in Bedfordshire to capture my image / or my child’s image in photography or film and/or make recordings of my voice.
Yes
No
I further grant Carers in Bedfordshire the right to use my / or my child’s imagery and/or recordings 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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