LUV Yourself Program 2022 Testimonials

LUV’ing you first – Support Group (Self Referral)

YOUR DETAILS
Your Name
Your Age barrier
Postcode
Contact number
Your Email
Reason for referral
Any additional support needs

i.e. childcare restrictions, health issues, dietary requirements/allergies, learning difficulties etc.
Would you like to be part of our Whatsapp group
The Whats App group will be other ladies on your course

Participant consent : I agree to my contact details being stored, accessed and used by LUV CIC and it’s subcontractors.
- I agree
- I do not agree
Preferred delivery method*
- Online
- Face to face
Participant agreement: I agree to attend each session, at least 5 minutes before the start and contact LUV CIC if unable to attend. I also agree to fully participate in the sessions, without judgement and maintaining confidentially of the group
- I agree
- I do not agree
I have read and abide to the privacy policy stated in the footer*
- I have read this policy

LUV’ing you first – Support Group (Refer Someone Else)

YOUR DETAILS
Participant Name
Participant Age barrier
Participant Postcode
Participant Contact number
Participant Email
Reason for referral
Any additional support needs

i.e. childcare restrictions, health issues, dietary requirements/allergies, learning difficulties etc.

Preferred delivery method for the participant*
- Online
- Face to face
The person I am referring abides to the privacy policy stated in the footer and they are aware of the referral and agrees to any contact*
- The referral has read this policy

LUV’ing you first – 6 Week (Refer Someone Else)

YOUR DETAILS
Participant Name
Participant Age barrier
Participant Postcode
Participant Contact number
Participant Email
Reason for referral
Any additional support needs

i.e. childcare restrictions, health issues, dietary requirements/allergies, learning difficulties etc.

Preferred delivery method for the participant*
- Online
- Face to face
The person I am referring abides to the privacy policy stated in the footer and they are aware of the referral and agrees to any contact*
- The referral has read this policy