Register Log in to renew or change an existing membership. Username Email First Name Last Name Password Password Again Troopers - free - unlimited Accept our Privacy Policy? Auto Renew Please select *(Required) I am an amputee I am the parent / carer of an amputee Full Name *(Required) Adult / Child *(Required) Adult Child Which gender do you identify as? *(Required) Male Female Other If you answered other above, please specify Date of Birth *(Required) Home Address *(Required) Area *(Required) Post Code *(Required) Email Address (please double check you've entered this correctly) *(Required) Contact Tel. Number *(Required) Emergency Contact Name, Tel & Relationship GP Name, Address & Tel. Do you have any form of professional support? E.g. Mental Health Care Team, Social Worker etc... Yes No If you answered yes above, would you like to tell us a bit more about the support you have available. What is the level of your amputation (please tick all relevant boxes) *(Required) Right Arm Right Arm Above Elbow Right Arm Below Elbow Left Arm Left Arm Above Elbow Left Arm Below Elbow Right Leg Right Leg Above Knee Right Leg Below Knee Left Leg Left Leg Above Knee Left Leg Below Knee Reason for Amputation *(Required) Diabetes Accident Illness Congenital Other Any additional Limb Information Mobility (please tick all / relevant boxes) Prosthetic(s) Wheelchair Crutches / Stick(s) None How did you hear about FYF? *(Required) Have you joined our No LIMBits Facebook Group yet? *(Required) Yes No Not yet I'm not sure what this is Photo Permission - From time to time we'll take photos & videos during our Clubs. Please tick to show you give us permission to use your photograph / video for promotional purposes. *(Required) Yes No We record the information you give us in a secure database. This allows us to keep in touch with you and let you know about the exciting things FYF has available for you to get involved in. We will not give any of your details to anyone outside Finding Your Feet without your consent. You can get in touch to ask for your details to be removed at anytime. Please tick the box to confirm you acknowledge this. *(Required) Please tick to confirm