Flow: Registration form
Flow is a therapeutic writing programme for women who:

- have experienced perinatal loss at any point in their lives
- live in Birmingham or Solihull


If you have any queries about the programme, please contact Annika Spalding on info@annikaspalding.co.uk
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First name: *
Surname: *
Email address: *
Telephone number *
Your address, including postcode: *
How would you describe your ethnicity? *
How old are you? *
Are you currently receiving support from Maternal Mental Health Services?

*
What attracted you to the Flow writing programme? *
Please confirm the following: *
Required
Confirm that you are happy to be contacted for the purpose of the Flow writing programme. *
Required
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