All Move in Erewash - Get Involved form

To get involved with the AMiE project, please leave your name and email address and/ or phone number below. Select how you would like to get involved with AMiE. All information will be
held by the Community Health and Wellbeing Development Team at Erewash Borough Council and will remain confidential.

By submitting this request you acknowledge that our Privacy Notice has been brought to your attention. Please read the council's Privacy Notice.

First name

Last name

Telephone

How would you like to get involved with AMiE? (select all that apply)

Become an AMiE champion

We are looking for people living with a long term condition or disability to share their story with others. We will agree beforehand how you want your story to be shared.

Contribute your views

We are continually looking to hear the voices of people with lived experience to inform the AMiE work.

Find out about support

If you are not sure about where to get support for being active we can signpost you in the right direction.

All of the above

All Move in Erewash - Get Involved form

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