The Carers Discount Card is available for unpaid carers living in Buckinghamshire registered with Carers Bucks.

Your title (required)

Your first name (required)

Your last name (required)

Your email (required)

Your address (required)

Town (required)

Postcode (required)

Your phone number (required)

Date of birth (required)

Do you care for a child under 18 or an adult? (required)
Child Under 18Adult

Name of your Doctor’s Surgery (required)

Approximately when did you start caring? (required)

How did you hear about the Carers Discount Card? (required)

Upload A Photo (1MB Max)

Are you registered with Carers Bucks (required)
YesNoDon't Know

Add to database (required)
YesNo

Have you read the Carers Bucks Privacy Policy? (required)
Yes

Run or work for a business that would like to join the scheme?