Carers Connected Signup Form

Carers Connected (South Lanarkshire) is a consultative forum for carers and carer representatives to share the knowledge and experience of being a carer. By participating in this group, carers will help to influence future service delivery development.

The topic for each upcoming Carers Connected forum is listed on our website.

Name

First NameSurname

Are you a carer living in South Lanarkshire or a Carer Representative from South Lanarkshire?

Email Address

example@example.com

Contact Telephone Number

Please enter a valid phone number.Format: 00000000000.

I would like to attend

Do you require interpretation to participate in Carers Connected?

Which language do you require interpretation for?

Do you have any Accessibility Requirements?

Please use the space to the right to advise Lanarkshire Carers of your Accessibility Requirements?

(e.g. Large Print / Braille Paperwork, Wheelchair Access, a Hearing Impairment)

Do you have any dietary requirements?

Please use the space to the right to advise Lanarkshire Carers of your Dietary Requirements?