Your Name (required)
Your address (required)
Your Tel No. (required)
Your Mobile No. (required)
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1. Do you have a Disclosure and Barring Service Certificate (DBS check)?
2. Are you over 70?
3. Do you have any underlying health issues such as a heart condition, diabetes or respiratory disease?
4. Do you live with someone who has underlying health issues such as a heart condition, diabetes or respiratory disease?
5. Are you pregnant?
I would volunteer for (please tick which role(s) are suited to you):
Street WardenCollect shopping, prescriptions, post mailDog WalkingFriendly phone call