Ministry of Empowerment Cancer Support Group - T.R.U.S.T.
Email address *
Your full name *
Your postcode *
Your telephone No. *
How did you find out about this event? *
What interests you about the T.R.U.S.T. Cancer Support Group? *
What are your expectations from the T.R.U.S.T Cancer Support group? *
How do you feel particularly around social isolation and loneliness during Covid-19 *
PHOTOGRAPHS & VIDEO RECORDING
By taking part in this project, it is assumed you are giving Ministry of Empowerment full rights to use the images for publicity or other purposes.

IF YOU DO NOT WISH TO BE PHOTOGRAPH OR VIDEO
Please indicate below.
Do you give Ministry of Empowerment full rights to use your image for publicity or other purposes? *
Required
Age Group *
Today's Date *
MM
/
DD
/
YYYY
THANK YOU FOR COMPLETING THIS REGISTRATION
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy