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Please select your age range from the options below *

• 18 - 24
• 25 - 34
• 35 - 44
• 45 - 54
• 55 - 64
• 65 - 74
• 75+

Gender *

• Male
• Female
• Other

Please select the Sláinte Care Programme you wish to take part in: *

• Social Prescribing
• Parents Plus - Children's Programme + ADHD
• Parents Plus - Early Years Programme
• Parents Plus - Healthy Families Programme
• Parents Plus - Parenting When Seperated
• Parents Plus - Special Needs Programme
• Parents Plus - Adolescent Programme
• We Can Quit
• Smoking Cessation

If you would like another Parenting Programme or specific talk topic , please specify what this may be:

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