Event registration
Welcome to registration for the Diabetes UK 'Type 1 Connect - a wellbeing day that doesn’t feel like homework!' exercise and wellbeing event. Please fill in the following form to register for the event. If you do not fil in the form, you will not be registered to attend.
1. First Name
*
2. Last Name
*
3. Email Address
*
4. Phone number
*
5. Address line 1
*
6. Address line 2
7. City
*
8. County
9. Postcode
*
10. Are you a
*
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