Food Bank Registration Form
Hello, in order to let us know how best to help you we need you to fill in the following form.

We provide food parcels to those on low incomes, especially those who are facing short-term or sudden losses of income and need support while they adjust. We cannot provide indefinite support. Due to our funding we are only able to provide support to people living in the NG9 & NG16 areas of Nottinghamshire. 

We provide a maximum of one parcel per week for a maximum of 6 weeks (you will then be moved to fortnightly for 1 month). You can read our full terms of service here: https://docs.google.com/document/d/1w-4asx4-SJId7ccldf5Ry7ESgy3hCSlC/edit 

Consent
Information supplied via this form is provided will only be viewed by a small number of people at Broxtowe Community Projects and will never be sold on to any third party.

With your agreement, it may be passed on to other community services or organisations that are better placed to assist you, such as other food banks, or council organisations.

Your personal information can be deleted upon request by contacting bcp.foodbank@gmail.com.
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You only need to  complete this form once. After that you just need to contact us via email, Facebook message, text or a phone each week to request a parcel.
I consent to give you my data under the terms outlined above *
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