Van Reno Project

Help us renovate this old Bedford camper van into crisis accommodation for homeless youth, we have partnered with the Newborough Men’s Shed and Quantum support services to be able to deliver this massive program in a meaningful way, with youth leading it.
Any problems please DM us via Facebook or call 0484 777 972.

Name

First Name

Last Name

Preferred Name

Preferred Pronouns (She/He/They)

Date of Birth

YYYY

Gender

Phone

Interests

Tell us in a couple of sentences why you're excited about this program.

Have you filled out the LYS sign up form

if you have not, once you submit this form please scroll to the bottom of the page and click the link to redirect you to the LYS sign up form

Yes

I have not but I'm about to

LYS Sign Up Form