Register as a Carer

Register a Young Carer (aged 5 to 25)

Young carers are children and young people aged between 5 and 25 years whose lives are affected by caring for a family member or friend

You can view more information and make a referral from these links:

  • Your Details
  • Submit

Your Details

Full Name

Date of Birth

Address & Postcode

Home Phone

Mobile Phone

Does the carer live in the same address as the person being cared for?

Any Relevant Information

Consent

I declare that the information provided on this form is correct to the best of my knowledge

I consent to being contacted via the details given above. I agree to the privacy policy

To view our privacy policy, click here