A bit more information

We want to ensure that we reach everyone on Church Street. To do that, it would be helpful if you could give us some more information about yourself. If you don't want to, that is fine, you can just choice no below and press submit.

First Name

Last Name

Mobile phone

I am happy to give a bit more information. If yes, please pick yes below, complete the form and press submit. If no, please pick no below, skip to the end and press submit.

What gender do you identify with?

Can you please tell us your age on your last birthday?

Are your day-to-day activities impacted by a long-term illness, physical and/or mental health condition, or disability?

To which of the following groups do you consider you belong?

What is your religion or belief?

The Data Protection Act (2018) requires WCC to obtain your permission whenever we collect or use your personal details. This data will be used solely for communication about the Church Street Regeneration programme. The Church Street Regeneration Programme centres around working with local residents and organisations. To communicate effectively, we will collect and store contact information within these groups with updates or invitations through emailed newsletters or text messaging. These emails or texts will inform about our regeneration and community projects, training opportunities, and events and ask interested parties for evaluative feedback. You have the right to withdraw your consent and unsubscribe at any time, and your details will be deleted.