Action for Carers Surrey
Enabling carers to have a voice and realise a life outside caring

Give Carers a Voice Forum

North West Surrey Carers’ Forum
Wednesday 23rd January 2013
Booking Form

If you would like to attend the Carers’ Forum please complete this booking form. To help with arrangements please respond by Wednesday 16th January 2013.
Please tick the relevant box
Parking: Parking at the Holiday Inn is only available for disabled guests.
All others should park at the Victoria Way Car Park next door (GU21 6GH). We will give you a voucher for up to 6 hours’ parking on presentation of your valid Victoria Way car park entry ticket at the forum reception desk.
Do you have any other requirements to enable you to participate in the day? (e.g. hearing loops etc.)

You may attend one workshop. Places will be limited so please indicate your first and second choices: All workshops are subject to change without prior notice.

Workshop

Social care - helping carers navigate their way around self-directed support, supported self-assessment and other developments
Mental health - future directions following the Public Value Review
NHS Continuing Care – update on eligibility and assessment
Parent carers – update on support, services and short breaks
We may take photos during the event for publicity purposes.

Please return this form by Wednesday 16th January 2013, to:
Action for Carers (Surrey)
FREEPOST (SCE6731), Guildford, Surrey GU4 7BR
Tel no: 01483 302748 or email to [email protected]
Places are limited and prior booking is essential. Please note that we can only confirm your place if you provide an email address or if you phone us. Do let us know as soon as possible if you find you are unable to attend so that the place can be offered to another person. In the event of being oversubscribed, priority will be given to carers.
If you have any requirements not covered above please contact us on 01483 302748 or for any other queries, contact your local Carers Support Scheme:Carers Support Woking - 01483 727277Carers Support Elmbridge - 01932 235770Carers Support Runnymede - 01932 564446Carers Support Spelthorne - 01784 444233
Data Protection Statement. Your details will be kept by us for the purposes of mailing out to you information, invitations, newsletters and from time to time seeking your views by questionnaire, etc. Your details are kept strictly confidential and will not be passed to any third party without your express permission except as allowed by law, including the Companies Act 2006. You have the right to know what personal data Action for Carers (Surrey) holds about you. You also have the right to have your data corrected or deleted. Please address any such requests to us in writing. Please note that if you are a member of Action for Carers (Surrey) the Companies Acts give the right to the public to inspect the Register of Members and take extracts from the register. Action for Carers (Surrey) must keep such information for not less than 10 years and the Data Protection Act does not apply to this information.