If you are looking to become a registered client, please complete this Individual Registration Form to the best of your ability. This form is electronically forwarded to us and we will contact you shortly to discuss your ability to visit our centre to access our services. The more information we have, the more we will be able to determine the level of service you need in order to best help you.
Note that some fields (marked with a *) are required.
When you are finished, be sure to click SEND at the very bottom of the page.