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The Pavilions - Register your interest

Completing this form

To be able to process your request we need some information about the intended resident to enable us to carry out a suitability assessment. Please provide as much information as you can.

Your contact details

Residents contact details

About you

Data protection and marketing
We would like to keep you informed about this scheme and other similar Extra Care options. We only collect limited information for this purpose. Please be advised that some of this data may be stored outside of the European Economic Area (EEA) (See Section 10 of the privacy notice). For more information please refer to our Data Protection page. For more information about how we collect, use and store your information please see our fair processing notice.

Please tick all applicable options

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