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Your Details

Gender
Ethnicity
Where are you in your cancer journey?
How did you hear about us?

This is where you can identify the hospital worker/social worker/Charity/friend that let you know about Teens Unite

Parent/Carer Contact Details

By completing this registration form, you consent to Teens Unite contacting the above named person

Anything else we need to know so we can support you in the best way possible

We just need a few more details to complete your registration with Teens Unite. We promise it won't take long, and it ensures we have all the information we need to tailor our support to best suit your needs and interests.​

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As you're under the age of 18, you will need to inform your parent/guardian that you are registering and that we will contact them initially as part of our initial welcome call. 

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Once you have completed the short form below, you will receive an email with the details of what happens next!

You're nearly there...

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