Take a place in a programme.

Registration is free and open to anyone in the communities we work with. Tell us who is joining and which programme fits, and a coordinator will call within five working days.

Pillars open to join: 4Pillars open to join
To hear back: 5 daysTo hear back
No fee to take part: FreeNo fee to take part

How it works

Three steps from this form to the first session.

Send the form

One form per participant. A parent or guardian can register on behalf of a child.

A call within five days

Our coordinator confirms the place, the intake date and what the first session involves.

Intake and first session

You meet the programme lead and the group. No fee, and no obligation to continue.

Registering someone under 18

A parent or guardian should complete the form and add their own name and phone number in the notes. We speak to them before the first session.

Participant registration

Fields marked with an asterisk are required. Everything else helps us place the right person in the right group.

Participant

Details of the person joining the programme.

Participant's full name *

Date of birth *

Day / month / year

Age *

Grade / year *

School name *

Home address *

Preferred language

Phone number

Email (participant or family) *

Programme

Programme *

When would you like to start?

Parents and guardians

The first guardian is required. Add a second if there is one.

Parent / guardian 1 *

Relationship *

Phone number *

Email *

Parent / guardian 2 (optional)

Relationship

Phone number

Needs and goals

The more we know, the better we can shape the first session.

Academic strengths / interests *

Areas where support is requested *

Participant goals (1–3) *

Accessibility / accommodation needs

Anything else we should know?

Consent and declaration

I confirm that the information provided is accurate to the best of my knowledge and that I have received the applicable program information and consent materials. *

Participant / parent / guardian signature *

Typing your full name acts as your signature.