Register for Community Transport

It's quick and easy to register to use our Community Transport.

We collect and process personal data relating to our service users in order to provide services to the community. We are committed to being transparent about how we collect and use that data and meet our data protection obligations. For more information please visit https://www.runnymede.gov.uk/privacystatement.
About you
1. Title
2. Forename*
3. Surname*
4. Address 1*
5. Address 1
6. Town*
7. County*
8. Postcode*
9. Date of Birth *
10. Home Telephone Number
11. Mobile Telephone Number
Emergency contact details
1. First name(s)*
2. Last name*
3. Relationship *
4. Telephone number*
5. Additional Telephone Number
6. Email
Medical/Disability/Health Information
1. I have difficulty walking
2. I have difficulty climbing steps
3. I use a walking stick
4. I use a walking frame
5. I need help with carrying bags
6. I use a wheelchair
7. I will be travelling in a manual wheelchair
8. I will be travelling in an electrical wheelchair
9. I have sight difficulties/loss
10. I have hearing difficulties/loss
11. I will be travelling with an assistance dog
12. Please give details of any other disabilities, health issues or impairments you feel we should be aware of

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