Banbury Star CC: prescription delivery volunteers
This form captures the contact details for members who are willing to help deliver medical prescriptions to the community for those who are unable to travel due to restrictions during the coronavirus outbreak.

Your details will be held securely, in full compliance with GDPR legislation and only passed on with your permission.

The existing club rules regarding liability will remain in place for this initiative.
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Your Christian name *
Your surname *
Your email address *
Your phone number *
Without a space
Emergency contact number *
Without a space
Do you use Whatsapp? *
How can you help? *
Your postcode? *
Your location? *
If Banbury please give the area (e.g. Easington) or the village name
Availability slots
Please give a rough estimate of when you would be able to help, it's not a firm commitment
Morning
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How can you be contacted? *
Your personal data will be used to coordinate efforts to find volunteers to deliver, by bike, important items needed during the Coronavirus situation. In which case we will need to know your location and contact details. The contact details will only be used for the purpose of running this volunteer group. The contact details will be available to selected members of the group who are volunteering to coordinate the activities and so they may need to contact you.
Required
Sharing of personal details *
We may need to pass your name and contact details onto others, e.g. the pharmacy, if you are volunteering to deliver prescriptions so they can contact if required
Required
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