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Parent talk sign up
Thank you for your interest in the monthly parent talk, taking place on Saturday 3rd July.
This will be taking place every month. This will be a safe space to discuss, talk and express.
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* Indicates required question
How did you hear about this workshop?
*
Your answer
Why would you like to attend this talk?
*
To share ideas and help other parents
I am worried/concerned and need advice
To meet other parents
To know that I am not alone
Other:
Parent/carer's full Name?
*
Your answer
Parents telephone number
*
Your answer
Link to Sickle Cell
*
I have Sickle Cell
My child(ren) have sickle cell
My child(ren) have sickle cell trait
Other:
Child with Sickle Cell Full name?
Your answer
Child 2 with Sickle Cell full name & age *IF APPLICABLE*
Your answer
Child 3 with Sickle Cell full name & age *IF APPLICABLE*
Your answer
Child's gender?
Female
Male
Prefer not to say
Clear selection
Child 1 age?
Your answer
Child's date of birth?
MM
/
DD
/
YYYY
Hospital(s) you or your child attends
Your answer
Photo and film permission: I give permission for SCS to take pictures/film of me taking part in the workshop
*
Yes
No
To be used internally
To be used in our newsletter
To be used externally on our website
To be used externally on our social media platforms e.g. facebook, instagram etc
To be used externally in documents, on advertising materials and for funders
Yes
No
To be used internally
To be used in our newsletter
To be used externally on our website
To be used externally on our social media platforms e.g. facebook, instagram etc
To be used externally in documents, on advertising materials and for funders
Would you like to volunteer with us?
*
Yes
No
Maybe
Do you have any topics that you would like to talk about at the next Parent Talk?
Your answer
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