Get a young adult mentor

Fill in our form. We’ll match you with the most suitable young adult mentor. All of our volunteers are affected by muscle wasting or weakening conditions.

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Age confirmation*

I confirm that I am 14-17 years of age.

Entry criteria*

I confirm that I am living with a muscle wasting condition

Title

First name*

Last name*

Date of birth*

Type of muscle wasting condition

Address*

Street Address Address Line 2 City ZIP / Postal Code

Email*

Contact number*

Tell us a little more…

What sort of support would you benefit from the most? How old are you? We will use your response to suggest peer support volunteers who have similar lived experience.

Parents email*

If you’re under the age of 18 you’ll need to have parental consent to join our mentoring and you’ll need to provide contact details of a parent/guardian who has consented to you joining the group. Before joining the group, we will contact your parent/guardian to discuss information abut the group and to confirm their consent. If parental consent is withdrawn, you will be removed from the group.

Parents contact number*

Stay connected with our community

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phone

please don’t contact me by post

We will never share your details with anyone. We will only contact you in the ways that you wish, making use of the information you’ve told us (including your muscle-wasting condition) and publicly available information. We want to make sure what we communicate with you is relevant to your interests. Our privacy policy is available on our website or by phoning 0300 012 0172.

Peer support

Sometimes you just want to speak to someone who knows exactly what you’re going through. Someone who has personal experience of living with a muscle wasting or weakening condition and who will listen without judgement.

Find out more