PLACEMENT REQUEST FORMPlease complete the form below which will allow you to make a request to use the contact centre through e-mail. This form will require a valid e-mail address in order for request to be sent electronically. If you are unable to provide an e-mail address and would still want to make a request for a placement, you can contact the Renfield Child Contact Centre (by post, fax or telephone) by going to the contact us page. PLEASE NOTE: This form DOES NOT guarantee a place at the contact centre as all places are subject to availability and completion of the referral process.
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