Registering For Shencare's Services

Please enter your details to register with Shencare:

Name:
Address:
Postcode:
Email:

Telephone number:
Mobile number:

Date of birth:
Gender:
 Male Female
Ethnicity:

Details of mobility problems:
Will you / the client need to remain in a wheelchair while on the bus?:
 Yes No

Please complete the following sum to prove you are a real person, not a spambot:

* Please note, if you register / book online, a member of Shencare’s staff will call you personally to confirm your booking. We provide this service to reassure you that your booking has been seen by a human being, not just lost in a computer system.

Unfortunately, due to the sometimes unpredictable nature of email, there is a small possibility that your message may be intercepted by spam filters and not get delivered to us. Although we take all necessary precautions to prevent this from happening, if you do not hear from us within 24 hours, please call us on 0121 476 1816 to confirm your registration by telephone.

For further information, please contact us: