Community Activities Form
Please fill out the following information to participate in community activities.
What is your full name?
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First Name
Last Name
We are running a pilot service for residents living within 500m of Grenfell Tower. If you are not currently living in the immediate community, we need further information to check your eligibility: Please tell us your connection to Grenfell
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I lived in the immediate community on the 14th of June 2017
I was enrolled in school in the immediate community on the 14th of June 2017
I attend(ed) therapy as a result of Grenfell Tower Fire
None of the above, I still live in the immediate community
None of the above
If you lived in the immediate community on 14 June 2017 and then moved out, what was your postcode?
What is your first language? If not English please state the language you speak
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Do you consider yourself disabled?
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Yes
No
Prefer not to say
What activity would you like to access? Tick all that apply
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Complementary therapies
Adult restorative Group Programme
What is your email address?
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example@example.com
What is your number?
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-
Area Code
Phone Number
What is your full address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Tenure of home
*
Social rented
Private rented
Owner-occupied
Other
Prefer not to say
What is your age band?
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Under 11
11-17
18-24
25-44
45-64
64+
Prefer not to say
What is your gender?
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Woman
Man
Non-binary
Self-describe
Prefer not to say
Whar is your Ethnicity?
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Asian/ Asian British
Black/ Black British/ Carribean/ African
White
Arab/ North African/ Middle Eastern
Mixed
Other
Prefer not to say
Religion or belief
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None
Christian
Muslim
Jewish
Hindu
Sikh
Buddhist
Other
Prefer not to say
Are you a carer for an adult or child?
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Yes
No
This is being funded by the RBKC Restorative Justice Programme. We need your consent to share your details with them, in order for them to contact you about your experience.
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Yes, I give consent for my details to be shared & to be contacted by RBKC
No, I do not give consent for my details to be shared
Submit
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