Barbaarinta Barbaarta - Sign Up form

Name *

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Emergency Contact Information (Full Name and Number) *

Are you Somali? If not, how would you describe your ethnicity? *

Please choose from the following: I am currently in Please choose from the following: I am currently in Education Training Receipt of Universal Credit

Will you be available to participate in sessions in person and/on online from January to March 2023 * Will you be available to participate in sessions in person and/on online from January to March 2023 * Yes No

Why are you interested in taking part in our Barbaarinta Barbaarta programme?

We work hard to ensure our events and activities are inclusive to all. However if you have any specific accessibility needs, please let us know how we can support you?