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Home: Community: Care and support: Carers

Carers social and training event booking form

Farah Haq - October 2011
gatewaytocare@kirklees.gov.uk

To book a place on one of our training events fill in the form below.  Where no dates are specified please contact 01484 226050 for more information.

Please fill in all boxes marked with *

Please note:
Places are allocated one per carer unless stated otherwise. Due to the high volume of requests we have from carers to attend events organised by Carers Gateway unfortunately it is not possible to offer every carer a place.

Your details
(Mr, Mrs, Ms, Dr etc)

Contact address

Contact details

About you and the person you care for
What disabilities or illnesses does the person you care for have?
(Please give details)

Your requirements
Do you require care cover?
Thank you for your booking - we will send you an acknowledgement.  Please select 'Send Form' below to send your details.

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