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Registration Form - Step 1 of 2

If you want to have online counselling or support from a trained counsellor via this website, you can do so by registering your details below. You only have to fill this in once and the information is confidential.

It is important that you understand that we are NOT a crisis service available 24 hours a day. If you are feeling suicidal or need to speak to somebody immediately, we would strongly advise you that you call the Samaritans on 08457 90 90 90. Alternatively, call Child line on 0800 1111 or NHS direct on 0845 4647.
When you are registered on this website you can have online counselling in our secure chat room by appointment, or you can chose to have counselling via email. You can also freely post messages to our discussion forums.

Interested? Then please register your details with Wakefield Young People’s Service Information, Support and Counselling team by completing the form below. This is a free service available to all young people in the Wakefield district. Please fill in as many details as you can.

(* required fields)

Your username *

Your password *

Confirm password *

Age

Gender

Sexuality

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Postcode *

Email address *

Have you previously registered with Wakefield Young People's Service?

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