Client Registration Form

We need your permission to record details about you and your enquiry, so that if you visit again, we will not need to ask you the same questions. If you are happy for us to do this please complete this form and sign below. To be able to deliver and improve our services, we need to know whether we are helping all groups in our community.

Enquiry Information

General Information

About You

*For the purpose of the Data Protection Act 1998, the data controller is the CAB service