By clicking submit you are agreeing to the following:

I give permission for my personal details to be held on the Community Partnership Database, for use in consultation and community involvement. I understand that the database will not be shared with any third parties. (please delete all answers above if you do not wish to be included on the database)

The Data collected in this web form will only be used for the purpose of the Chippenham Area Community Partnership (ChAP) and will not be disclosed to any external sources.