Sign Up Form - ICS Staff Wellbeing Workshop, Bromley health and care staff

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*First name/s: *Surname: *Email: *Confirm email: Are you a health care, social care, or primary care worker? Do you have any access or support needs to ensure you can take part in this activity? (E.g. wheelchair access, captioning for online activity, large print information, sign language interpretation) If you answered 'Yes' to the question above, please give details: Do you agree to Breathe Arts Health Research occasionally taking screenshots, photos or short recordings of online and in person sessions for promotional and reporting issues?
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