The Recovery College registration form

Student declaration

Note: Questions marked by * are mandatory

Recovery College Student Charter and Code of Conduct

I agree the information given is correct to the best of my knowledge. I agree to the Recovery College Student Charter & Code of Conduct and understand that online violence and abuse towards other students and staff will not be tolerated. I understand the information provided in this form will be treated as confidential; however, it is used for statistical data purposes for The Recovery College.

Please see our Privacy Notice here.

Student details

*This is a mandatory field. Name

*This is a mandatory field. Date of birth

*This is a mandatory field. Address

*This is a mandatory field. Postcode

*This is a mandatory field. Mobile number

Telephone number

*This is a mandatory field. Email

*This is a mandatory field. Borough

The Recovery College runs courses open to residents of Islington and Camden, as well as anyone with a professional, family or carer connection with either borough.

Emergency contact details

*This is a mandatory field. Emergency contact name

*This is a mandatory field. Emergency contact number

Relationship to you

* Spam Guard: Do fish swim in the sea or sky?

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The Recovery College registration form

The Recovery College registration form

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