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Refer someone to Church on the Street

Use the form below to refer someone to one of our groups or services: Clothing bank, Exodus Project, Food parcel, Genesis Group, Hot meal, HOPE mental health group, Nattershack, Seated exercise, Shower, Women of Worth…

Bethesda Church, Bethesda St, Burnley BB11 1PR (behind M&S).

Make a Referral

"*" indicates required fields

NB: If you are referring yourself click here

Details of the person being referred:
DD slash MM slash YYYY
(Type "nfa" if homeless)
Consent*

Details of the type of referral:
This referral is to*

Details of the person making the referral:
Referrer consent*