Carer's Registration Form

Barnet Carers is a leading charity offering advice, information, emotional and practical support for all informal carers who live or work in the London Borough of Barnet.

The Adult Carers Team assists carers over the age of 18 by providing a range of services such as Carer's Assessments, Counselling, peer support groups, regular support calls, training, and more.

The Young Carers Team helps carers from the age of 5 to 17. Young people can access support in schools, mentoring, tutoring and benefit from activities led by partners from different organizations across the Borough.

If you, or someone you know, might benefit from our help and support don’t hesitate to contact us. We are here to help.


How do you like to be addressed.
This is your last or family name.
How would you like us to address you. This could be the name you are used to or whether you would prefer us to be more formal.
Don't worry, we will not be sharing your age with anyone, we just need it for our records and to make sure that we are providing you with appropriate information.
Address Line 1
Address Line 2
City
State or Region
Country
Post Code
Your email, that will be included in our mailing list.
We take note of the gender of the people we offer Carers Assessments so that we can make sure that we are being fair and respecting people's identities.
We will try and get someone to speak to you who can speak your language. This is not always possible and if necessary we will organise for an interpreter.
How many hours per week do you spend in your caring role?

Now we are going to ask you some questions about the person you care for. This is so that we can get a good idea of the care you are offering and can make sure that your carers action plan fits you as well as it can.

Address Line 1
Address Line 2
City
State or Region
Zip
We take note of the gender of the people we offer Carers Needs Assessments to so that we can make sure that we are being fair and providing services to all who need them,
Tick as many as apply.

For example, your GP, Social Worker, other charitable organizations, friends, online research...
Please confirm that you have given consent for the information provided on this form to be securely and confidentially stored on our database.
Don't worry about this field! This is just the admin email.