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Brave Spaces - Registration

Brave Spaces is a safe, supportive and fun programme for young people to connect, learn, build confidence and take part in exciting activities. Please complete this form with a parent/carer if needed. All information is confidential and used only for programme delivery and safeguarding.

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Your details

Step 1 of 3

Full name *

Phone *

Date of birth *

Gender *

School attending *

Parent / carer full name *

Parent / carer contact details *

Emergency contact name *

Emergency contact number *

Does the young person have any caring responsibilities? *

YesNo

Does the young person have any medical conditions? *

YesNo

If yes, please provide details

Only if you answered Yes above.

Does the young person have any allergies or dietary requirements? *

YesNo

Does the young person require any additional support? *

YesNo

If yes, please provide details

Only if you answered Yes above.

Which activities are you interested in? *

Sports & FitnessArts & CreativityCooking & Food ActivitiesLeadership ActivitiesWellbeing SessionsDrama ClassesOther

I give permission for photos/videos to be taken during activities *

Used for: social media, promotional materials, reports to funders, and internal use only.

YesNo

Where did you find us from? *

Local Partner (e.g. school, youth organisation)FacebookInstagramTikTokWebsiteOther

Your information is confidential and used only to deliver this programme. See our privacy policy.

Help us make sure no family faces cancer alone.

Your support funds awareness, food, youth wellbeing and family support.

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Accredited & proud members of

Family Unit Trust

An award-winning Manchester charity strengthening families, raising cancer awareness and tackling health inequalities since 2020.

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Unit 11, Varley Industrial Estate, Miles Platting, Manchester, M40 8EL

info@familyunittrust.org.uk

Mon - Fri 9am - 4pm · Saturday 9am - 2pm

King's Coronation Champions Award 2023Global Champions Award 2025CAHN Leadership Award 2025Charity of the YearOutstanding Social Behaviour Award 2023

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