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
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?
*
Yes
No
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