First Name

Last Name

Which of the following is a real place for sexual health advice in Barnsley?

(Select one answer)

GUM Clinic
DUMB Clinic
BFC Clinc

Email (E.g. myemail@hotmail.com)

Mobile (E.g. 07900000001)

Flat/House Nunber / Name (E.g. 128)

Post Code (E.g. S70 1DX)

Date of Birth
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month January February March April May June July August September October November December Year (E.g. 1990)

We would like to send you more information about what we are doing in Barnsley, like free events and video diary rooms. If you don't want to hear from us tick here
If it's easier for you we can send info straight to your mobile phone. If you do want texts to your mobile tick here

When you are done click this button

Rules:
You need to be aged 13-25 to enter this free competition.
You also must live or work in Barnsley.
Winners are selected at random from the correct entries fulfilling the entry criteria.

If you are selected as a winner you may be asked for a comment or photo for publicity purposes.