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Expression of Interest Form
Mencap Greater Belfast
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Please complete the form to allow our youth workers to contact you regarding taking part our HEROES Project
Your Name *
Name of Young person Interested in HEROES Project
Age of Young Person
Contact Number *
Your postcode *
Email address (please provide an email address that you are happy for us to send more information about the project)
If required do you give permission for Mencap Youth Staff to contact you via phone & text as needed
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Please tell us why you would like to take part in HEROES *
Tell us how you heard about the project *
THANK YOU
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