Building Bridges  the Friendship Group
Web-site    www.ontheside.org/bridges        Email    bridges@ontheside.org
your email address will not be divulged to anyone without your permission

APPLICATION FORM  - OCTOBER 2003

 

 

 

 

Tick your Activities

Here is a first list of activities in which you might be interested. We will work closely with the Whitmarsh and other Day Centres to avoid any duplication.

 О   Acting
 О   Basket-Ball
 О   Bingo
 О   Counselling
 О   Computing
 О   Cinema
 О   Creative Writing
 О   Dancing
 О   Darts
 О   Day-Trips
 О   Drama
 О   Evening Trips
 О   Football
 О   Golf
 О   Green Bowling
 О   Gym
 О   Internet
 О  Poetry
 О  Pool
 О  Quiz Nights
 О  Snooker
 О  Swimming
 О  Table-Tennis
 О  Tennis
 О  Tenpin Bowling
 О  Theatre
 
 О  other.....................................
 О  other.....................................
 О  other.....................................
 О  other.....................................

If there is any thing missing that you would like to do then please add it to the list before sending it back to us

MEMBERSHIP IS FREE

You do not need to fill in any details you prefer not to, including your name, but do please fill in your views on the activities we should pursue. 

 О   I would like to become a member of the Group

 О   I would like to hear more about the Group

 О   I would like to receive your newsletter by post

 О   I would like to receive your newsletter by email

My name is .......................................................................

My address is ....................................................................

.............................................................................................

............................................................................................

My telephone number is ....................................................

My email address is ...........................................................

Associate membership is open to all people having an interest in improving people’s mental health and we welcome their participation and advice. However Building Bridges is run and decisions are taken by those of our members who have survived or are trying to survive a mental health problem.

 

 

 

All these details will be kept confidential and used only for the purpose of building our friendship group.

You can support us without filling in a form - just contact us.

 

 

 

 

 

 

 

 

 

 

 

Post this form to us c/o the Support Shop 55 Broadway Bracknell RG12 1BB

 or email it to bridges@ontheside.org