COVID 19 Support Details

Nettlestone & Seaview Parish Council is pulling together resources to assist people living in the parish who are self-isolating as a result of the Covid 19 virus. If you would like someone to get in touch or would like to receive information from the Parish Clerk about medical or shopping deliveries, please complete the details below.

We use the data requested below to inform you of resources offered by the Parish. None of the details will be divulged to third parties.


Sign in to Google to save your progress. Learn more
Name *
Contact Address *
Telephone
Preferred email address for contact
I Consent to Nettlestone and Seaview Parish Council holding the above data for administrative purposes only.
Would you like to receive a regular Phone Call from a Volunteer during the Pandemic?
Would you like to receive regular email updates of advice? (A preferred email must have been provided above)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy