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Family Hubs Registration Form

Family hubs registration form

Begin your registration
1. There is no obligation to complete this form, but any information you provide will be treated in the strictest confidence and will be kept in accordance with General Data Protection Regulations 2018. The information will be stored on the West Berkshire Family Hubs information management database which can only be accessed by authorised Family Hubs staff. Please ask a member of staff if you would like help to complete this form.
3. About you
  1. Your details
    
    Title
    
    First names(s)*
    
    Surname*
    
    Date of Birth*
    
    Day
    
    Month
    
    Year
    
    Ethnicity*
  3. Your contact details
    
    Telephone number
    
    Email address
    
    Please provide at least one contact information.
  5. Your Address
    
    Postcode*
    
    Address
  8. Number
    
    Name
    
    Street
    
    Area
    
    Town/City
    
    County
    
    Postcode*
  10. * Please correct any of the validation issues highlighted above