Become a
Kintsugi Hope Partner.

Register user account

First we need to register a user account for you. If you already have a user account please log in instead.

ALL FIELDS ARE REQUIRED UNLESS OTHERWISE STATED

Title

Mr, Mrs, Ms, etc

First name

Last name

Address line 1

Address line 2 (optional)

Town

County

Postcode

Region

Email

Create password

Please choose a new password with more than 8 characters

Confirm password

Phone number

How did you hear about Kintsugi Hope?

Year of Birth (optional)

Ethnicity (optional)

Religion (optional)

Employment status (optional)

Position(s) in church / organisation

Any other position(s) of responsibility (optional)

I agree to being contacted in relation to Kintsugi Hope Wellbeing Groups

I would also like to receive news and updates about Kintsugi Hope (optional)

We won't send any spam or share your details with any third parties

I confirm I have the full support of the church / organisation leadership to become a Kintsugi Hope Partner

Please read our Church Partner Application Privacy Notice
(opens new window)

I confirm that I have read the Church Partner Application Privacy Notice and understand how my personal data will be used by Kintsugi Hope in connection with my role as a Kintsugi Hope Church Partner Primary Contact.

I give consent for Kintsugi Hope to use the information I provide as detailed in the Church Partner Application Privacy Notice.

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Become a Kintsugi Hope Partner.

Register user account

Become a
Kintsugi Hope Partner.