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Become a member of Haringey Circle

Membership is free for Haringey residents aged 50+ and for adults (18+) with a disability. Join us to connect with friendly groups, activities and events across the borough.

• Weekly activities & events in small, welcoming groups
• Learning opportunities and local walks
• Links to trusted local support and services
• Member discounts on selected outings
• Volunteer opportunities to share your skills

Complete the short form below and our team will get back to you. If you need help completing the form, call 020 3196 1894.

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Title *

• Ms
• Mrs
• Miss
• Mr
• Mx
• Other

Name *

First

Last

Address *

Postcode *

Are you over 50? *

• Yes
• No

Do you have a disability? Health conditions or impairments *

• Yes
• No

If Yes Please Describe

Date of Birth *

What is your gender? (Please indicate the gender you identify with, for monitoring and reporting purposes)

• Female
• Male
• Prefer to self-describe
• Prefer not to say

Phone

Email *

Mobile Telephone No *

Preferred method of contact *

• Telephone
• Email
• Letter
• SMS (Text message)

Contact Instructions

How did you hear about us? *--- Select Choice ---LeafletWebsiteCommunity ConnectorNewsletterTwitterFacebookFriendFamilySocial WorkerLunch clubCarerLocal organisationHomes for HaringeyHaringey CouncilOther

Hobbies/Interests 1

Hobbies/Interests 2 *

information you, for

Emergency contact name *

Emergency contact email *

Emergency contact phone no *

We will store the information on this form securely, keeping your details on our membership database. By agreeing to be a member you consent to us storing your details on our membership database; that you are happy for us to contact you, and you would like to receive events, news, and other information from Haringey Circle. *

• Yes
• No

Submit

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