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If you or someone you know would like to become a member of Active8 please complete the form below and we will be in touch

The person you are referring

DOB (dd/mm/yy)


Your details

Information about the person you are referring

Have you discussed Active8 with the young person?
Have you discussed Active8 with the parents/carers?
Would you like to receive our newsletter which includes updates about the charity and information about fundraising and day events for all the family?
Please indicate the ways in which you are happy for us to contact you :

We will not share your information.

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