Course Registration Form

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The co-operative learning spaces we provide can trigger emotional responses, be that either through course content, group learning and sometimes challenging group dynamics which include participants that are on different stages of the mental health and wellbeing spectrum including mental health service users, practitioners, family members and friends. On receipt of the completed registration form, we will be in touch to ensure applicants are signing up for courses that adequately meet their needs.

First Name *

Surname *

Phone *

Email *

Which County are you located in? *

Course Name *

Please outline briefly what interests you about this particular course. *

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

Required

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