Upper Clatford PC COVID-19 Support
Please complete this form to register to help or for assistance within the parish during the COVID-19 epidemic
First Name *
Last Name *
Street No/Name *
Postcode *
Email address *
Tel Number *
Support required or Responder *
Do you require assistance (support), are you offering help (be a responder) or are you Self Isolating
Are you classed as Vulnerable? *
The only reason we need to know is so we can either allocate you an appropriate non-contact role (e.g. phone) as a responder or prioritise you if you are seeking support.
Notes
Please give us some details on your situation (self isolating, vulnerable etc.) or how you can help
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