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COVID-19 - Tell us about yourself 

We'd like to know if you are available to give help.

Any information you submit to us is held securely and will only be shared when strictly necessary for providing the help that you ask for, or offer. We will delete all COVID-19 specific questions after the crisis is over, and you can come back to this form to update or remove data at any time (contact us if you wish to be completely removed from the system).

If you need help yourself, please see our information page.
 
If you have previously registered on the site, please log in first, then we will be able to recall your previously entered details. If you have forgotten your password, please reset it here. If you have not previously registered then enter your details below.

Please log in first if you have previously registered.
 
Name
* First Name:
* Last Name:
Address
Line 1:
Line 2:
Town: City:
Postcode: Zip code:
Email
* Email address:
Phone Numbers
Home:
countryareanumberext.
Mobile:
Can you help?
I can help with shopping :
I can help with admin/coordination :
I'm willing to connect with a lonely person :
I can help technically with IT/videoconferencing :
I may be able to contribute financially :
I can help in another way :
Please give details (?) :
Please give details (confidential) (?) :