Registering For Shencare Services

Please enter your details to register with Shencare:

    Name:

    Address:

    Postcode:

    Email:


    Telephone number:

    Mobile number:


    Date of birth:

    Gender:
    MaleFemale

    Ethnicity:


    Details of mobility problems:

    Will you / the client need to remain in a wheelchair while on the bus?:
    YesNo


    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.

    If you do not hear from us within 48 hours, please call us on 0121 476 1816 to confirm your registration by telephone.

    For further information, please contact us:

    Postal Registration Form:

    By Phone: