We Wear the Same Shirt Application
Become the latest signing to our innovative mental health football programme
* Required
Name
*
Your answer
Age
*
Your answer
Gender
*
Male
Female
Other:
Location
*
Your answer
Email Address
*
Your answer
Mobile number
*
Your answer
Do you have a mental health issue?
*
Yes
No
Do you have any other long-term illness, health problem or disability that limit your daily activities?
Yes
No
If yes, please specify
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Would you be prepared to participate in activities other than playing (e.g. time keeping?)
*
Yes
No
Do you consent to the FAW Trust forwarding your email address to programme providers?
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No
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