I need help please

You may be feeling isolated or fearful. Perhaps you need help getting basic supplies, or you just need someone to talk to or to pray for you.

Please complete the form, and someone will get in touch with you.

Name*
First Last
Phone*
Date of Birth*

Day
Month
Year
I need...*
(tick all that apply)
- someone to call me.
- some practical help.
Please give more details about how we can best help you...*
It is best to contact me regarding this...*
Are you getting help from local agency provision services already?
Please give details about the agency and type of support you are receiving already...*
Are you connected to King's Church High Wycombe already?*
Everyone is welcome to complete this form... there is no need to be connected in already.
How did you hear about this Hope Initiative?
If someone from King's Church High Wycombe told you about it, please let us know their name.
PRIVACY NOTICE*
- I have read, understood and accept your Privacy Notice.
We highly value the personal data you share with us. We promise to keep your information secure, to use your information submitted here solely within the church and not to use it for marketing purposes. For more details, please see our Privacy Policy which explains how we use personal data. By submitting your details in this form, you consent to us storing your information for the purpose described. If you do not wish for us to do this, please do not submit your details.