Apply Today

To be considered for the membership you need to...

• Complete the full Application Form
• Have a diagnosed lung disease
  • Or be a carer for a member
  • Or be a family member of a member
  • Or be a friend of a member
• Resident in Darlington, Co.Durham, Teesside or N.Yorks

Click below to download our Membership Application Form:

If you would like to fill the application in using your computer please view the PDF and click the form fields to edit, you can then download with your changes and email it to us at breatheeasydarlington@hotmail.com

Breathe Easy Darlington Membership Form (PDF format) > Breathe Easy Darlington Membership Form (docx format) >