Walk with Me Referral Form
GDPR
Bridges for Communities will use the information you provide on this form to set up walking partnerships, for administration & monitoring of those partnerships and for no other purpose. Information will not be shared with any 3rd parties. We will treat your information with respect and in line with the General Data Protection Regulation. Please see our Privacy Policy at www.bridgesforcommunities.com/privacy for more information.

By submitting this form you are confirming that the person you are referring is happy for us to hold their details and that we have your consent for us to go ahead with arranging a befriending partnership for them with one of our volunteers.
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Email: *
Name of Referrer: *
Referring Agency: *
Referrer Contact Number *
Does the person you're referring know they're being referred, what the service is and why you think they would benefit from it? *
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