Register as a Carer

Register as a Carer

Register a Young Carer (aged 5 to 25)

Young carers are children and young people aged between 5 and 25 years whose lives are affected by caring for a family member or friend

You can view more information and make a referral from these links:

Support for Carers
Support for a young carer

  • Your Details
  • Details of the person you care for
  • Submit

Your Details

Full Name

Date of Birth

Address & Postcode

Home Phone

Mobile Phone

Any Relevant Information

Details of the person you care for.

If you don't want to provide the details, you can skip the process.

Full Name

DOB

Address & Postcode

Home Phone (if different)

Mobile Phone (if different)

Any Relevant Information

Consent

I declare that the information provided on this form is correct to the best of my knowledge

I consent to being contacted via the details given above. I agree to the privacy policy

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