Freedom of the Parish Nomination

About who you are nominating

First Name *

Last Name *

Why are you nominating them? *

And a little bit about you

First Name *

Last Name *

Email Address *

Phone number

By filling out this form you understand that Pilning & Severn Beach Parish Council will store and use your details to allow us to respond and progress your query. You have read and agree to how we handle your data as outlined in our Privacy Policy.