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Reigate & Redhill Covid19 Mutual Aid Volunteer Sign-up
By clicking submit you agree for your data to be stored by the volunteer group for Reigate & Redhill Covid19 Mutual Aid Group purposes only. You can withdraw consent at any time by emailing
reigateandredhillmutualaid@gmail.com
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* Indicates required question
First name and Surname
*
Your answer
Email address
*
Your answer
Contact number
*
Your answer
Your road
*
Your answer
Which area are you based in? (if you aren't sure a best guess is OK)
*
Reigate Central
Southpark
Woodhatch
Earlswood
Redhill East
Redhill West
Merstham
St John's/Meadvale
Other:
How can you help?
*
Doing shopping for essentials
Collecting prescriptions/other essential items
Dog walking
Friendly phonecalls
Other:
Required
Do you have a valid DBS certificate ( this is not essential )
*
Yes
No
Do you have access to a vehicle?
Yes
No
Clear selection
Do you give consent for your contact details to be shared with a local registered charity such as VARB if a request is made and it is deemed a reasonable request by the group admin?
Yes
No
Clear selection
Any other information you think would be relevant
Your answer
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