Get Support from CamGlen Covid Support
If you need support, whether it's an emergency food package, information about social activities or some advice, please let us know by completing the request form below.
First Name
Contact Phone Number
I need help with
How many adults in your household?
How many children 0-5 years in your household?
How many children 6-12 years in your household?
How many children 13-18 years in your household?
Only answer these questions if you are requesting a food package. Please note some items may not be available all of the time.
Do you need:
Please tell us about any dietary requirements you have:
Request from/for:
Clear selection
Anything else we should know?
Privacy Policy: So we can provide the best service possible, Healthy n Happy will collect and use relevant information about you and your situation. We will only keep information that is relevant to the type of involvement you have with the organisation. By completing this form, you consent to Healthy n Happy holding and processing your personal data according to our Privacy Policy found here ( You can withdraw your consent at any time by contacting
Never submit passwords through Google Forms.
This form was created inside of CamGlen Covid Support. Report Abuse