Community Activities

Information about a Project or Activity

Name of Village or Town:*
Name and phone no. or email of person completing this form (for internal DCRF use only):*
Activity Type eg lunch club, coffee morning, choir:*
Who is the activity for?:
Venue:*
How often is it held? eg weekly, monthly:*
Dates and Times eg third Thursday 12noon to 2pm:*
Contact details - please add the name of the best person to contact about this activity:*
Phone number or email address of above named person:*
Does the person named in the box above give consent for us to publish these contact details on the website with your activity?:*	Yes No
Does the activity need to be booked? :*
Is there a cost?:
Can a lift, or person to come with someone, be offered?:
Please note any diabled facilities eg toilet, wheelchair access, disabled parking:
Please add any further information you would like :
Please enter the verification number on the right:*
* Required Fields