Nailsea Community Group- Help needed form
Please complete if you or someone you know needs help, we will contact all enquiries within 24 hours. Many thanks.
* Required
Name of person who needs help
*
Your answer
Email of person who needs help
Your answer
Address of person who needs help
*
Your answer
Phone number of person who needs help
*
Your answer
What help do you need?
Prescription Urgent request only
One Off Shop
Weekly Shop
Emergency Food Parcel
Borrow an item from the Lending Library
Join the food club
Laptop loan - please see question below
Other:
Have you received a letter from the government and identified as a vulnerable person?
*
Yes
No
Unknown
If you have enquired about the laptop loan. Please state if you are in a isolated year group and what school you attend please
Your answer
Is there any further information you need us know?
Your answer
By clicking submit you agree and consent for your data to be stored and used by the Nailsea Community Group Team. You can ask for it to be deleted at any time.
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I agree
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Admin use only*
NTC
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