Mental Wellbeing Course Expression of Interest

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Please fill out this form to register your interest in attending our course.

You will be contacted in due course to determine suitability

NO Group Registrations. Individual Registrations ONLY !!!

You MUST be Over 18 to take part in this Course

電子郵件 *

Kenny *

Are you Over 18 Years of Age *

Yes

Which County are you located in? *

Available Courses *

Art of the Matter (Connecting Through Creativity) in Navan

Where did you hear about the course? *

Social Media (FaceBook, Twitter, Instagram etc...)

From a Friend or Collegue

Internet Search (Google, Yahoo, etc...)

Is there anything that might impact on your full involvement on this course that you feel we should know about? *

Do you require any supports to participate fully on the course? *

Please identify your interest to register with us by ticking one of the boxes provided (this information will remain confidential.) *

I have had experience of mental distress

I am a supporter (Family member/Friend)

I am a professional

I have an interest in mental health recovery

必填

As part of this course Core Ireland may publish photographs and video containing your image. Do you give us your permission. *

Yes

必填

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