cornwall

Online registration is only available if you are 16-24 and live in Cornwall.

If you are under 16, you can register for a c-card by visiting your nearest outlet that provides the registration service. Click here to find an outlet near you.

If you are under 16, you can also register via the Brook Condoms by Post scheme. This has been set up in response to current social distancing regulations. Please call: 07923 250346 on the following days/times:

Tuesday between 2pm to 4pm & Thursday between 10am to 12pm.

If you are 16 or over, you have the option to register online, via the Condoms by Post scheme or at an outlet.

To register online, all you need to do is fill out your details below and we will email you with the information you need to complete your registration which will then allow you to pick up free condoms at any participating outlet.

All information is confidential and we will not store your email address, it will be deleted as soon as your registration is complete.

 

 

about you

Please complete all the required fields below. Any blue fields are optional.

Outlet Code
Initial  & Surname
 
Date Of Birth
/ /
Gender
Ethnic Background
Sexual Orientation
Postcode

Please enter Postcode and click 'Lookup'.

Why we ask for your postcode? (show)

How did you hear about the Scheme?

Email Address
Confirm Email Address
Condom Demonstration
Please tick to confirm you have watched the Condom Demonstration.
Data Protection

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Resident of Borough *
Mobile Number