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Could You Be A Buddy?

Complete Your Personal Profile Below!

Please complete the following details so we can get more information about you in order to pair you up with a like-minded buddy! We will then send you an email with your next steps!

FULL NAME

DATE OF BIRTH

EMAIL

IF UNDER 18 DO YOU HAVE PARENTAL/GUARDIAN PERMISSION TO SIGN UP

PARENT/GUARDIAN NAME & EMAIL

THINGS YOU HAVE EXPERIENCED (select all that apply) * Required

Bullying

Divorce/Parents Splitting Up

Mental Health

Job Loss

Relationship Breakdown

Invisible Illnesses

Family Illness

Loss of family member

Other (Specify in comment box below)

HOBBIES & INTERESTS

I AM HAPPY TO CONTACT MY BUDDY VIA (select all that apply) * Required

Letter

Email

WhatsApp

Snapchat

Facebook Messenger

Other (specify below)

ANY OTHER INFORMATION YOU’D LIKE US TO CONSIDER WHEN SELECTING YOUR BUDDY

Thank you for signing up! We will email the Personal Profile form to you shortly! Check your spam!

Become A Buddy: Job Application

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