Thank your for registering with the Mental Health Forum.
You should receive your confirmation by email within a few days.
If your chosen workshop is being delivered by Zoom, it will also have the link
For information on other Mental Health Forum services, opportunities, and courses,
contact Elaine: 078 7626 1033 elainefogarty42@gmail.com

**Please do not attend unless you receive an email confirmation**

If your chosen workshop is fully subscribed, we will contact you with alternative date options.

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* 1. Today's date

Date

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* 2. Which Course or Workshop would you like to register for?

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* 3. What date is your chosen course or workshop?

Date
Time

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* 4. Please enter your Name (as you wish it to appear a certificate if one supplied)

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* 5. Contact details

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* 6. Please type the word PERMISSION to allow us to contact you by email with updates on This and other learning and wellbeing opportunities via newsletter.

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* 7. In which Trust area do you live?

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* 8. Your age

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* 9. Please indicate - Gender

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* 10. In what capacity are you attending?

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* 11. Have you attended MHF courses or workshops before?

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* 12. How did you hear about this learning opportunity?

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* 13. Do you need any assistance when attending, re disability or mobility or support?

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