Citywide Children's Centres Parenting Groups: Expression of Interest Form
Please complete this form to express your interest in attending a Bristol City Council Children's Centre parenting group.
 Once you have completed the form, we will be in touch to confirm that we have received your details and to talk you through the different group options available to you (eg. locations, days and times) .
If you would prefer to contact us to register your interest, please call 07721311497 or email psso@bristol.gov.uk 
All of our groups are free to attend. 
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Form completed by: *
 Professional's Name and Email address: 
Parent / Carer Name: *
Parent / Carer Surname: *
Parent / Carer Email Address: *
Parent / Carer Phone Number: *
Child's Name:
(type 'due date' if pregnant)
*
Child's DOB:
(add due date if pregnant)
*
MM
/
DD
/
YYYY
Additional Children:
If you are adding more than one child, then please add additional children's information as above here:
Which is your preferred area to attend? *
Communication Permission - please tick the box below to agree to be contacted by the Children's Centres:
*
Required
(CC Staff/Partners/Professionals Use Only)
Please select what priority is most relevant to the family you are working with.
Clear selection
(CC Staff/Partners/Professionals Use Only)
Please add any additional notes and comments here.
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