Registration
Thank you for registering you interest in our Together Type 1 Northern Ireland event to Prison Island. We won't have a healthcare professional with us on the day. We are going to meet at Prison Island on Friday the 17th October at 5:30pm, the session will begin at 6pm and run to 7pm. After the challenge rooms we will have some pizza for dinner on site! This event is for 11-16 year olds living with type one. 1 parent/carer must be present and stay in the waiting area while the young people take part in the challenges rooms. Parents will be provided pizza for dinner. Please complete this form and Sian or Natasha will be in touch! If you have any questions please email sian - sian.mcadams@diabetes.org.uk
1. First Name
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2. Last Name
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3. Email Address
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4. Phone number
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5. Address line 1
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6. Address line 2
7. City
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8. County
9. Postcode
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10. Are you a
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Person living with diabetes over the age of 16 who would like to attend the event themselves
Parent or carer of a young person living with diabetes who you'd like to attend event
