If you are self-isolating and require assistance from the Community Support Group that serves residents in Seale & Sands please complete the form below or telephone 01252 279350

Please consider how you will pay the volunteer - cash, online bank payment etc. - this is something you can discuss with the volunteer.

Name

First Name

Last Name

Email

Say briefly how can we help you ie: shopping, chat, medicine etc.?

Address

Telephone Numbers that we can reach you on

Permission to use your details:

You must check this box to give permission for your information to be used by Seale & Sands Parish Council and the Seale & Sands COVID-19 Community Support Group. This information will only be used for the purposes of providing support during this current outbreak and will not be passed to anyone unconnected with these efforts.

I agree to my details being used in this way.

seale & sands COVID19 Community support group

Please consider how you will pay the volunteer - cash, online bank payment etc. - this is something you can discuss with the volunteer.