Friends of Independent Lives sign-up form

Please use the form below if you would like to sign-up to Friends of Independent Lives. If you have any questions or need any support please send an email to friends@independentlives.org.

Address
Would you describe yourself as having a disability or health care needs?
Are you a carer?
Are you currently using any Independent Lives services?
Close-up of "Friends of Independent Lives" pin badges with reflective silver and purple accents