Registration Form

We’re looking forward to seeing you in the community.

Please take a moment to sign up and let us know a bit about you. Please take care when completing the ‘Name’ fields:

Name: This is where you put your real first name and surname.

User Name: Your user name is the name that you will be known as in the community. If you are nervous sharing about mental health and prefer to be anonymous, this is where you can choose a different name. Members are not able to change this themselves after registration. It is helpful if you include your first name in your User Name so we know what to call you, so for example Sam4678 rather than Redwoolysocks9876 for example 🙂

To help us grow the community and reach as many people as we can, and enable us to apply for funding, it would also be great if you can let us know your gender, ethnicity, disability and access needs.

Support You and Yours Membership

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Date of Birth(Required)

Disability

Gender

Ethnicity

How Did You Hear About Our Community?(Required)

Email(Required)

Phone(Required)

Username(Required)

We are unable to change this after registration

Display Name(Required)

This is the name other community members will know you as

Password(Required)

Enter Password Confirm Password

Strength indicator

£50 annually: after your 30 day FREE trial, your card is charged £50 a year on a rolling contract

Price: £ 0.00

After You Register & Press 'Submit'

You will be sent an automatic welcome email with all instructions on how to use the community. Get in touch on info@spokzpeople.org.uk if you do not receive this within 30 minutes. You can also find a link to this email on your dashboard under 'New To The Programme'.

Pay with your Credit Card via Stripe Checkout(Required)

Card Details

Cardholder Name