Register for support – Calder Community Cares

Personal details

Please supply your details below. Fields marked with are required. All personal information is stored by us in accordance with our privacy policy.

Please note: Due to data protection this form is only for you to register yourself. If you wish to register on behalf of someone else as a Community Friend please contact us by email at wellbeing@caldercares.org.uk, or using the contact form here.

First name
Family name
Known as
Title
Date of Birth
Address
Postcode
Phone
Email

Further information

Please supply us with any other information which you feel may be relevant to us. All information supplied on this form is held in strictest confidence and is only shared with the members of our well-being team, who will contact you do discuss your application.

Any other information?

Data protection

Calder Community Cares will only use your personal information for the purpose(s) agreed with you when we discuss your requirements. We will not collect unnecessary information about you, or keep your information for longer than it is needed. We will ensure your personal data is held securely and only seen by relevant parties identified to you. You can contact us at any time to request either a copy of all information we hold about you, or that the information we hold is permanently deleted from our files.

Please tick to indicate that you accept the above, and that you are happy for us to hold your personal details in this way

You must accept the conditions above before you can submit the form.