2026 Sunflower Sessions Registration Form

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Email *

Support Person's Email *

First Name *

Surname *

Support Person's Name (if you have one)

Phone number for participant *

Phone number for support person (if you have one)

Additional emergency contact number *

Please give information about your additional needs, and let know what support you will need to enjoy these sessions *

Do you have any specific medical needs or any allergies? *

Yes

If yes please give details *

Do you need one-to-one support to engage in activities, or are you able to manage physical tasks and manage your emotions in a group setting

(PLEASE NOTE, the group leader will always be very patient with everyone in the group, but they can't always give one-to one support so if you feel that you need someone with you to help, please bring a support worker with you)

Yes, I can manage physical tasks and self-regulate my emotions

I will need to come with a trusted person support me

Do you give consent for your photos to be taken during the sessions? *

No thank you

Yes, but not to be shared outside of the farm

Yes, and you can share photos taken of me on social media

Other:

Are there any other details that we need to know about you. Is there anything that you are very sensitive to, or anything that makes you anxious? *

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