ECLCM Membership Form
Telephone Number (Optional)
City/Town of residence
Are you or have you ever been in care?
Prefer not to say
Are you a UK citizen? If not, country of residence.
1) I support the ECLCM proposal.
2) Have you signed the petition?
I would like to be informed of how to make a donation to the campaign if this becomes an option in the future (optional)
Please let us know any comments or questions that you might have or if you would like us to send you more information.
Do Not Fill This Out