Register for a Wakefield C-Card
You need to have a C-Card to get free condoms from this site.
Registering is simple - just enter your details below.
First name
Please enter your firstname.
Last name
Please enter your lastname.
Invalid format.
Date of birth: (your date of birth will be checked)
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Gender
Male
Female
Trans male
Trans female
Non-binary
Not listed here
Please select your gender.
Ethnicity:
A1 British
A2 Irish
A3 Any Other White background
B1 White and Black Caribbean
B2 White and Black African
B3 White and Asian
B4 Any Other Mixed Background
C1 Indian
C2 Pakistani
C3 Bangladeshi
C4 Any Other Asian Background
D1 Caribbean
D2 African
D3 Any Other Black Background
E1 Chinese
E2 Any Other Ethnic Background
F Not stated
Please select your ethnicity.
Address line 1:
Please enter your address.
Address line 2:
Town:
Please enter your town.
postcode
Please enter your postcode.
Invalid format.
Mobile number:
You will be sent a selection of condoms with your
c-card. Tick here if you do not want condoms at this time.
I confirm that I have read and agree to
the terms and conditions.
Please confirm that you have read the terms and conditions.