Visit a Happy Hub

If you’d like to register to attend one of ourĀ Happy Hubs, please complete the form below and one of our team will be in touch.

Note, this form is for people referring themselvesĀ to attend a Happy Hub, if you want to refer someone else, please use this form

Details:

First Name*
Last Name*
Date of Birth*
  dd/mm/yyyy

Telephone*
Does you have an email address?

Address*
 
Town / City*
County*
Post code*

Additional Contact Information

Name
Relationship
Telephone
Email
Should this be the first point of contact?

How mobile are you:

Are you housebound?
Do you use a wheelchair?
Do you have any memory problems?
Are there any known risks associated with your behaviour?

Where did you hear about
the Happy at Home Project?

Please confirm you are happy to receive emails from the Happy at Home Project.

 
 

t: 0191 529 2122

e: info@happyathomesouthtyneside.co.uk

Hours of Business: 9 - 5 Monday to Friday

Website Access 24/7

Representing 70 churches: Anglican, Baptist, Independent, Independent Methodist, Methodist, Roman Catholic, United Reformed
Registered Charity Number: 1153612

8 + 12 =