Referral form – Community Classes

Young at heart, active for life!

Please use this form to refer participants for a fully funded 6 week course in our community classes. If participants attend all sessions, we can discuss whether they would like to attend additional course

Criteria: Participants must

  • have a socio-economic barrier to affording classes
  • be open to group exercise
  • benefit from increasing their mobility and/or being more social in the community.
If referring using ‘other’ please email us the class you wish to refer to, so we can update on our records.
E.G. Heart Condition Respiratory Condition Diabetes High Blood Pressure Progressive illness (Cancer, HIV, Parkinson’s) Vision Impairment Hearing Impairment Mental Health Condition
E.G. Osteoarthritis Inflammatory Arthritis Fibromyalgia Trauma (tendonitis, broken bones, injury etc) Long term pain >3 months Other MSK condition
Please note all participants must abstain from alcohol and substances 24 hours before class for the purpose of health and safety. If an individual attends class and appears inebriated we will unfortunately have to decline entry.