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Thank you for your interest in South East London Mind (SEL Mind)'s Queer Minds Trans Drop-in group. The group meets monthly on the first Wednesday of the month from 5:30-8:30pm at 3Space International House (6 Canterbury Cres, London SW9 7QD). Visit our website (selmind.org.uk/queermindsls) for more details.

If you would like to register your interest to attend this drop-in group, please complete this form.

Please note that all fields with a red * are compulsory and must be completed before you can submit this form. You only need to fill out what’s required.

Identity

First name (First initial is ok)

Last name (Last initial is ok)

Year of birth e.g. 01/01/1985

Address

Post Code

Where do you live?

Contact

Mobile

Email address (please share your email if you would like to be added to the group's mailing list)

Emergency contact details

Additional Information

Please tell us what you would like to get from the Queer Minds Trans Drop-in Group

Referral Information

Referral Source

How did you hear about us?

Queer Minds Trans Drop-in

Client Registration Form

Identity

Address

Contact

Additional Information

Referral Information