Young Adult Support Group Consent Form

If you are aged under 18 please ask your parent/guardian to complete the consent form below.

If you are aged 18 or over, then you do not need to complete this form and you can register for the support group here.

Step 1 of 2

Before you can register for this support group, we need to get a little more information from you.
Participant Name
The young person taking part in the support group
First Last
Participant Date of Birth*
Please confirm the participant's date of birth
DD slash MM slash YYYY
Participant Email Address*