Art for communication and wellbeing - booking form
Please use this form to book your place on the programme, which starts on Thurs 29th September from 6.15 - 8pm and runs for four weeks.  Please note corrected dates.
 
We will email you to confirm your place on the course and look forward to seeing you. 

We will store your data safely in accordance with data protection requirements.  We (ADHD Parent Support West Glasgow) will share this with Yo-Mo so that they can contact you about the course. 
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Your name *
Your age (you must be 13-17 to do the course) *
Your email address (we will use this to confirm your place on the course) *
Your mobile number (so we can remind you when it's starting!) *
Name and number of an adult emergency contact (a parent or carer)  *
Do you have an ADHD diagnosis? *
Assuming you enjoy it, do you expect to be able to come to all four sessions of the course?  (Places are very limited so we are keen that people should come to the full course).  *
Is there anything you want to tell us about you, or anything which will make it easier for you to attend the course?
Thank you for booking your place.  We will be in touch to confirm that you have a place on the course.   If you have any questions then you can email us at adhdglasgow@outlook.com
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