Register with Unpaid Carers Support Southampton

By registering with us as a carer you will get access to a whole range of services, information and invitations to our events.

You can see how we look after your data here

Your details

Title

First name

Last name

Email address

Phone

Your full address

DOB

Ethnicity

Who do you care for? e.g. husband, neighbour, friend

Illness / disability / conditions of the person you care for

The details of the person you care for

Title

First name

Last name

Full address

DOB

How can we help?

I would like a Carers Card

I would like to sign up to your monthly e newsletter.

I need help with something else (e.g. advice, signposting to other services, information about carer events, someone to talk to or general information)

By ticking this box I understand I am agreeing to Unpaid Carers Support Southampton’s Privacy Policy. We will always store your personal details securely. We shall use them to provide the service that you have requested and communicate with you in the way(s) that you have agreed to. This service is funded by Southampton City Council and we operate on their behalf. Your data may also be used for analysis purposes, to help us provide the best service possible. For full details see our Privacy Policy here

Links

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