Lyrics and Lunch Application Form 

Please fill in the form below and press the send button and it will go to Jeanette Main, Third Age Coordinator at  St Thomas' Church.
 

Name of person living with dementia:
Their Address:
 
 
 
 
Telephone:
Mobile:
Email Address:
Name of carer - to contact     
Contact details for carer, if different
 
music-1598701280
 

Thank you. If we get a lot of interest we may have to give places on a first come first served basis. I will be in touch as soon as I can to confirm your place and the date of your first session.  
For further details please contact Jeanette at St Thomas’ Church jeanette@st.tees.org.uk or phone the Church Office via Contact Us