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Advocacy Awareness Week 2020!

We believe everybody has the right to plan their own life, to be listened to, to be taken seriously, to be respected

Barnsley Safe Places - Membership Form

A member of our team will contact you using these details to welcome you. We can also arrange for you to receive a membership card.

Your details

Name *

Address *

Postcode *

Contact Number *

Email

The information below will help us identify areas we can improve.

Reason for joining

Physical disability

Mental Health needs

Learning disability

Autism Spectrum Disorder

Carer

Acquired brain injury

Older person

Sensory impairment

None

Please tick the box which best describes your reason to join

Age

Identified Gender

Ethnicity

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