Pyxis.Social 18 - 25 Expression of Interest — Welcome to We Are Pyxis CIC

Pyxis.Social 18 - 25 Expression of Interest

If you are 18 - 25 and want to join the Pyxis.Social 18 - 25 Group, then please use this form to let us know that you are interested. Someone from the team will then get in touch to discuss the group with you.

Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

YYYY

Are you happy for us to contact you about your interest in attending the group?

Yes

If you would prefer us to contact someone else to discuss you joining the group, please provide their name, relationship to you and contact information below.

Please let us know below what your hopes would be for joining the group.

Thank you! We will aim to respond to your enquiry as soon as possible.