Register your interest in Talk and Support

First name *

Last name *

Date of birth *

Day

Month

Year

Phone number *

Enter a UK phone number (e.g. 0121 234 5678) or a number with an international call prefix.

Email address *

Confirm email address *

Address line 1 *

Address line 2 (optional)

Town/City *

Country (optional)

These groups are UK only. If you are registering from outside the UK you will not be able to join.

Postcode *

Preferred day * If you have any preferences regarding availability or type of group please let us know by selecting from the options below.

Monday

Tuesday

Wednesday

Thursday

Friday

Preferred time *

AM (10am - 11.30am)

PM (2pm - 3.30pm)

Group preference *

Same sex group

Mixed group

Appearance

Appearance

Register your interest in Talk and Support

First name *

Last name *

Phone number *

Email address *

Confirm email address *

Address

Address line 1 *

Address line 2 (optional)

Town/City *

Country (optional)

Postcode *

Group preferences

Register your interest in Talk and Support

First name *

Last name *

Phone number *

Email address *

Confirm email address *

Address

Address line 1 *

Address line 2 (optional)

Town/City *

Country (optional)

Postcode *

Group preferences

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