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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
Email
Create password
Please choose a new password with more than 8 characters
Confirm password
Phone number
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
.
Register user account
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