Register for Online Support

Register new account

42nd Street provides free online support to young people in various areas around Greater Manchester.

To check if you're eligble please fill in this form. If we're not able to provide an online service to you, you can find out about our face to face service HERE

Once you hit "Submit" we'll get back to you within 72 hours. We may want to speak with you a little more about your referral so do keep an eye on your inbox! You can chose how support will work best for you from there. There is a wait list for support before we can get you set up with a worker.

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

Services & Reasons for Registering

The following services are available in your area:

Groups

Free and informal online groups, designed to provide practical help and information about key issues you might be struggling with in your life.

For more information about Groups, click here.

Online Support

Free online support, giving you weekly one-to-one support with an allocated worker to help you through tough times.

For more information about Online Support, click here.

Which service would you like to register with? (Please note you can register for one or more services) *:

Groups

Online Support

Can you tell us why you would like support from 42nd Street? It might be helpful to think about: What’s going on? How’s this affecting you? How long’s this been affecting you? What would you like to be different?

If we’re especially worried about your safety from this info then we’ll message online to talk more. If we can’t reach you we’ll follow our safeguarding guidelines, which may mean trying to reach you, or others, outside of the platform. You can read more HERE.

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

Tell us your address

Address 1st Line

Address Town

Address County

Address Postcode

We need your contact details

Mobile Phone 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

Tell us about your GP

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

Tell us about your background

Please describe your ethnicity

Gender

Please describe your gender

Do you identify as Trans (Yes/No)?

Please describe your sexuality

Tell us about your work or education

How would you describe your employment status

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

42nd Street provides free online support to young people in various areas around Greater Manchester.

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

Groups

Online Support

About You

We need your email to keep in touch

And please provide a secure password

Some general information about you

Tell us your address

We need your contact details

Tell us about your GP

Your Background

Your data choices:

Tell us about your background

Tell us about your work or education

Tell us about any disabilities you may have

Nearly there.

Register for Online Support

Register new account

42nd Street provides free online support to young people in various areas around Greater Manchester.

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

Groups

Online Support

About You

We need your email to keep in touch

And please provide a secure password

Some general information about you

Parental consent

Tell us your address

We need your contact details

Tell us about your GP

Your Background

Your data choices:

Tell us about your background

Tell us about your work or education

Tell us about any disabilities you may have

Nearly there.