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Greenwich Peer Support - Young Persons Support Group (The Nook)

Welcome to our new Greenwich Young Persons Peer Support group. If you would like to register for this group, please complete this form.

Please note this group is for people aged 18-30

Please note that fields with a red * are compulsory and must be completed to be able to submit this form.

Forename

Surname

Also known as

Date of birth (if you prefer you can give your year of birth by inputting 01/01/yyyy) Please note this group is an 18-30's group

Address 1

Address 2

Town

Post Code

Borough

Bromley Lewisham Greenwich Other

Telephone

Mobile

Emergency Contact Details

Service communication preferences?

Permission to leave messages

Section to record consent to hold demographic information

Do you give consent to collect, process and store your demographic information (it is used to report to our funders anonymously)

Date you give consent

Source of Consent - please select: Registration form (consent given)

Further information on what we can do to keep you safe and comfortable in the group