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East Ayrshire Mental Health & Wellbeing outdoor programme

Please use this form to sign up to the activity in the title. The Outdoor Partnership will use this information to report our impact to our funders and to guide our work moving forward. All information is stored under the relevant GDPR regulations.

Identity

Surname

Forename

Date Of Birth

Demographic

Please describe your gender

Is your gender identity the same as sex registered at birth?

Please describe your ethnic group

Are you happy for The Outdoor Partnership/Delivery Partner to use images and media of you taking part in the activity to promote their work?

Support Needs

Support needs - The Outdoor Partnership is committed to making the outdoors a more inclusive, accessible and welcoming space for all. Please provide us with any relevant information that will support our staff in supporting you to have an enjoyable experience.

Do you consider yourself to have a disability or long-term physical or mental health condition? (info box – please select this box if you are neurodivergent.)

Address

Post Code