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Refer someone to Church on the Street

Please use the form below to refer someone to one of our groups or services.

We are open Tue, Wed & Thu, 9.00am – 3.00pm (Wed 1-3pm is women only).
See What’s On each week

Bethesda Church, Bethesda St, Burnley BB11 1PR (behind M&S).
See location

Make a Referral

"*" indicates required fields

NB: If you are referring yourself click here

Details of the person being referred:
DD slash MM slash YYYY
(Type "nfa" if homeless)
Consent*
This referral is for*
(Tick all options that apply)

Details of the person making the referral:
Referrer consent*