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:
- 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
To view our privacy policy, click here
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Please check the highlighted fields.