YCA Online Services
Capturing your views about which services you would like to benefit from being online
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Email Address:
Name *
Gender *
Date of Birth *
Door Number and Postcode *
Contact Number: *
How many children (0-17) live in your household: *
How many adults (18-65) live in your household: *
How many elderly live (65+) in your household: *
Which YCA services do you currently use? *
Required
Which of the following devices do you have at home: *
Required
Do you have access to the internet/WiFi at home? *
Would you be interested in having YCA services online? *
Which YCA services would you want to have online? *
Required
Would you be interesting in volunteering to help the elderly and vulnerable during the Coronavirus Pandemic Lockdown? *
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