Your Name:


Your Email Address:


Nature of contact: Staff member Volunteer Member of user group Youth club member Previous youth club member Local community Other

Do you have any feedback on the website?


Do you have any feedback on the existing club or its premises?


Do you have any feedback on the areas of work that we are proposing to include, or on our building plans?



Which of the facilities would you or your family use?


What other community facilities are needed in this area?


Would you like to be involved in some way in this project? (please specify)


Any other general comments?