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Focus on the Family Database

The purpose of this form is to obtain consent for Focus on the Family to collect and store your personal information in accordance with the Protection of Personal Information Act (POPIA). Please note that any information you share will be treated with the strictest confidentiality and will be in accordance with regulations set out in the aforementioned Act.

A copy of your responses will be emailed to the address you provided.

LIFE LINE: 0861 322 322
RAPE CRISIS: 0800 150 150
CHILDLINE: 0800 055 555
AIDS HELPLINE: 0800 012 322
SUICIDE CRISIS LINE: 0800 567 567 or
SMS to 31393

Or for more help and emergency numbers visit: Grace Counselling www.gracecounselling.org.za or
SADAG www.sadag.org