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Wild Steps Registration Form

This form is to help us understand some important information about you before you come to The Farm. We want to make sure that we are providing services fairly and according to need, demonstrating that we are meeting the needs of the whole population.

Once you have filled in the form we will contact you with a start date, this could take up to a week. 

The information you provide is confidential but some anonymous data may be used for funding purposes.

Your Details

Please enter your first name
Please enter your last name
Please enter a valid email address
Please enter your telephone number
Please enter you full address
Please enter you postcode
Please select your age group

Equality and diversity monitoring

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Emergency contact/ carer contact.

We may contact this person if we feel there are additional support needs to be discussed, or in case of an emergency.

Please enter the name of your emergency contact
Please enter the emergency contacts relationship to you
Please enter the emergency contact phone number

Dietry and Health requirements

Please let us know if you have any physical health issues
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Please let us know if you have any mental health issues
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Please let us know if you have any physical health issues
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Getting to know you

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reasons for attending Grow and Make

And finally...

Please select one
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Sign up

Before signing up, please download and read the handbook which contains answers to many frequently asked questions:

Wild Steps Handbook


Get in touch

Jason leads the course at The Farm. If you require extra support, or have a query about Wild Steps, please don’t hesitate to contact him by email or call him on 07878 925642.

(Please note that Jason works part-time so will get back to you as soon as possible.)


 Important

If you’ve successfully booked with us, and then find that you are unable to attend, or you need to stop coming, please let us know so we can open up your space for others.

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Funded by The West of England Combined Authority