Register for Online Support

Register new account

42nd Street provides free online text-based support to young people across Greater Manchester.

To sign up please complete this form and we'll get back to you within 72 hours. We may want to talk with you a little more about your referral, so do keep an eye on your inbox.

Please note there is a wait time before we'll be able to allocate you to one of our practitioners for one to one support. Our welcome team will be able to give an idea of how long this wait will be once signed up, but it is generally between 8-12 weeks.

If you feel you need more urgent help please click here.

If you are having any problems completing this form, please email onlineteam@42ndstreet.org.uk

First, tell us a little bit about you

To get started, let us work out your age

Date of Birth

About You

We need your email to keep in touch

Repeat Email

And please provide a secure password

Password

Password length shouldn't be shorter than 8 characters
Password must contain at least one special character
Password must contain at least one digit
Password must contain uppercase and lowercase letters

Password Confirmation

Some general information about you

Display Name

Please pick a display name that is not your name, email address or a username you use regularly on other sites, so that you feel able to use our online support services in confidence

First Name

Last Name

Pronouns

Tell us your address

Address 1st Line

Address Town

Address County

Address Postcode

Can we contact you at this address?

We need your contact details

Mobile Phone Number

Can we contact you on this number?

Home Phone Number

Can we contact you on this number?

Can we text you?

If you like, we can use TextMagic to send you a text, letting you know when you have unread messages.

Yes, I would like to receive text reminders No, I do not want to receive text reminders

Please tell us about your GP

Your Doctor/GP's Postcode Search

Please make sure you provide your GP information. We will not contact your GP without your permission or without contacting you first. You can check our confidentiality policy here.

Your Doctor/GP's Name

Your Doctor/GP's Practice

Your Doctor/GP's Address

Your Background

42ndstreet keeps basic statistics in order to make sure we meet the needs of the whole community. We also use anonymised data with funders and evaluators. Whether or not you consent to us doing this is entirely your choice and won't affect your support with 42ndstreet in any way. We never share anything from your sessions or anything that could identify you, just anonymous demographics and trends in engagement to ensure the quality of our service.

Your data choices:

Consent for anonymous data to be used for monitoring the quality of our services with NHS and similar funding bodies

Consent for anonymous data to be used for external evaluations

Please tell us about your background

How do you describe your ethnicity

How do you describe your gender?

Please describe your gender

Do you identify as Trans (Yes/No)?

How do you describe your sexuality

Sexuality other

Please tell us about your work or education

How do you describe your employment status

Please tell us about any disabilities you may have

Do you feel you are disabled in any way?

Is your disability

Are you, or have you been, in care?

Not sure? Find out more about what this means here

Please select the locality where you are, or were, in care

Are you a young carer?

Not sure? Read more about what a young carer is here

How did you hear about us?

Heard from another

Register for Online Support

Register new account

First, tell us a little bit about you

Great! You are eligible to sign up.

At the moment our support is only available to young people in Greater Manchester

Services & Reasons for Registering

About You

We need your email to keep in touch

And please provide a secure password

Some general information about you

Emergency contact

Tell us your address

We need your contact details

Please tell us about your GP

Your Background

Your data choices:

Please tell us about your background

Please tell us about your work or education

Please tell us about any disabilities you may have

Nearly there.

Register for Online Support

Register new account

First, tell us a little bit about you

Great! You are eligible to sign up.

At the moment our support is only available to young people in Greater Manchester

Services & Reasons for Registering

About You

We need your email to keep in touch

And please provide a secure password

Some general information about you

Parental consent

Emergency contact

Tell us your address

We need your contact details

Please tell us about your GP

Your Background

Your data choices:

Please tell us about your background

Please tell us about your work or education

Please tell us about any disabilities you may have

Nearly there.