Contact Details Do you have an idea of the amount of time you would like to volunteer Becoming a to aid us in helping people on the road to health. Volunteer

Health Driver Days of the week: For more information on ……………………………………………………… volunteering either call our friendly ……………………………………………………… ……………………………………………………… team in the office or fill in the ……………………………………………………… registration form provided, send it back to us to the Times of day/evening/weekends: address below and we will get back ……………………………………………………… to you. ……………………………………………………… ……………………………………………………… ……………………………………………………… Tel: 01454 417519 Email: [email protected] Community Any additional information: Visit: www.4tvl.org.uk Health Driver ………………………………………………………

……………………………………………………… ……………………………………………………… Please send your: ……………………………………………………… registration form to Joy Oxenham at Ground Floor Unit To help us, to help others 9, Pinkers Court, For marketing purposes please tell Briarlands us where you obtained this form Office Park, Gloucester Road, • Enjoy driving? , • Do you have time to ……………………………………………………… Bristol, BS35 3QH spare?

Four Towns and Vale Link • Have you ever thought Community Transport about helping people in Volunteer Form your community? Registered Charity No. 1084874 Volunteer registration What being a health driver involves form

• Helping people get to their medical Mr./Mrs./Miss/ Ms. appointments. ………………………………………… • To help people carry on living independently. Full Name: • Help people to remain active. ………………………………………… • Helping people to make new friends/ maintain friendships. Address:. ‘Here to help, on the road • To provide customers with information on ………………………………………… further services we offer, i.e. community to health’ Home Phone Number: trips. Our aim is to provide transport to ………………………………………… people in the community who need help getting to and from their medical Mobile: appointments. We are looking for ………………………………………… volunteer Health Drivers who can spare any time with helping customers to Email: access these types of appointments with ………………………………………… affordable but most importantly accessible transport. I am interested in helping This service has been set up by the with/I would like more Areas we cover: charity Four Towns and Vale Link information about Community Transport. Oldbury on Severn (Tick as necessary) MIDAS If you’re over 21 years of age and have held a full Driving a mini-bus driving license for at least 2 years we’ll offer you Cromhall MIDAS training to drive one of our mini buses. Rockhampton Driving own car Our volunteer’s drive small MPV’S to accessible mini buses for the less able to get out and about in the Thornbury community. Even a few hours a month really does make a difference! Hallen Tytherington Signed…………………………… Hill Winterbourne