Parent/Guardian Details

Child Details

Open only to young people of 11-19 years old

NOTE: Please do one form separately for each child attending from your household

Child Next of Kin Details


Our aim is to promote positive family living for adults and children, community inclusion, and tackling the issues that affect children and young people, especially how family breakdown affects children and young people in adulthood. We also seek to work with people from different backgrounds and cultures, by building healthy relationships across diversity. We give priority to ensuring a good and flourishing family relationships and it is the core of all our work. If you would like to know more about what we do, please contact us at info@rehbothforfamilies.com.  Check our website for more information – https://rehobothforfamilies.com

GDPR Disclaimer: We will never pass your information on to anyone else without your written permission. Contact us for our GDPR policy

We are a Christian faith-based charity organization, registered charity no. 1190359