MyVOYPIC is currently only open to young people up to 25 years old who have lived experience of care and who live in (or are from) Northern Ireland.

If you are unsure if you can join, please contact us (028 9024 4888 / info@voypic.org)

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Date of birth

Date

Question Title

* 4. Gender

Question Title

* 5. What pronouns would you like us to use for you?

Question Title

* 6. Mobile Number

Question Title

* 7. Email address

Question Title

* 8. Address (This is the address we will send your gift to, please let us know if your address changes)

Question Title

* 9. What MyVOYPIC sign up gift would you like? (You will get one gift, please rate your choice from 1 - 3, we will try our best to give you your first choice)

Question Title

* 10. We would really like to contact you by phone/text or email.  Please tick the boxes below to allow us to do that. If you prefer, we can send you the info by post instead.

Question Title

* 13. Do you have a VOYPIC Youth Rights Worker?

Question Title

* 14. If yes, what's their name?

Question Title

* 15. What is the name of your social worker (and/or) PA? (If you're not sure, just write 'Not sure')

Question Title

* 17. Do you consider yourself to have a disability?

Question Title

* 18. How did you hear about MyVOYPIC?

Question Title

* 19. To get signed up, please tick to confirm you have read our (Privacy Statement) If you need any more information please email info@voypic.org

T