Carers Parliament 2022 - Hybrid Event 9 November (In Person Registration Form)

The 10th Carers Parliament will be held on Wednesday 9 November 2022. The event will be a hybrid event, with 75 places available in person and other carers attending virtually.

We have limited places to allow for more COVID19 security by enabling greater social distancing between tables. We will also ask all staff to wear face masks - and request that carers attending wear a facemask when not sitting at discussion tables (unless exempt). For those who do not qualify for free lateral flow tests, we will cover the cost of these within expenses.

Applications to this event are open to unpaid carers. This means people who provide unpaid care to family members, other relatives, partners, friends and neighbours of any age affected by physical or mental illness, disability, frailty or substance misuse.

This form is for people to attend in person. We have a separate form if you would like to attend virtually. Please find this by clicking here

As IN PERSON places are limited.

If we are unable to offer you an in-person place, we will add you to the in-person waiting list and offer you a virtual place

For those attending in-person, we offer travel expenses, costs of a lateral flow test (if not eligible for a free test), replacement care and accommodation where required.

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* 1. If having requested an in person space, and we are only able to offer a virtual space, do you have any difficulties in accessing this?

Yes

If yes, please provide details of any issues with accessing the virtual event

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* 2. First name

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* 3. Surname

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* 4. Your address:

Address 1

Address 2

Town

County

Post code

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* 5. Telephone or mobile number

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* 6. Email address:

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* 7. Do you need assistance to attend the in person Carers Parliament?

Yes

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* 8. We will be holding 4 in person workshops. Please tell us which one you would like to attend, in order of preference and we will try to allocate you a place on your first preference

	1 -Most interested	2	3	4 - Least interested	5 - Not interested at all
Carers Strategy	Carers Strategy 1 -Most interested	Carers Strategy 2	Carers Strategy 3	Carers Strategy 4 - Least interested	Carers Strategy 5 - Not interested at all
Dementia Strategy	Dementia Strategy 1 -Most interested	Dementia Strategy 2	Dementia Strategy 3	Dementia Strategy 4 - Least interested	Dementia Strategy 5 - Not interested at all
National Care Service: Right to a Break from Caring	National Care Service: Right to a Break from Caring 1 -Most interested	National Care Service: Right to a Break from Caring 2	National Care Service: Right to a Break from Caring 3	National Care Service: Right to a Break from Caring 4 - Least interested	National Care Service: Right to a Break from Caring 5 - Not interested at all
Scottish Carer's Assistance next steps	Scottish Carer's Assistance next steps 1 -Most interested	Scottish Carer's Assistance next steps 2	Scottish Carer's Assistance next steps 3	Scottish Carer's Assistance next steps 4 - Least interested	Scottish Carer's Assistance next steps 5 - Not interested at all

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* 9. If yes, what assistance might you need? (tick all that apply)

Travel expenses

Cost of a lateral flow test

Accommodation

Replacement care

Other e.g. level access, lift, translation (please specify)