Please complete the form below to register to join our Recovery Support Group or Addiction workshops. If you need any assistance please contact us.

If you'd like more information about these groups, read our FAQs.

Your Details

First Name

Last Name

Phone

Gender

Please select your age range (please note you must be over 18 to apply)

Where do you live?

Your role(s) within the music industry

How long have you worked in music?

Emergency contact - we collect this information solely for your safety, in case of an emergency or serious concern for your wellbeing whilst using our services.

First Name

Last Name

Phone

Please outline why you would like to join a Recovery Support Group or Addiction workshop.

Confidentiality Agreement

I understand that information shared in group sessions is confidential and will not be shared outside the group, except in exceptional circumstances where there is a serious concern for my safety or the safety of others.

Your Rights Under GDPR