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

    What type of application is this? (required)

    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)

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

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