Online Form - Community Connect - Registration for Assistance COVID-19 - Assistance available for impacted and isolated residents The Town of East Fremantle understand that there are many people in the Town who live alone and may not have family or friends nearby to help them during this difficult time. We are pleased to be able offer those in need some assistance from Town staff who are currently unable to undertake their normal duties. Please complete this form if you would like to register for assistance through our Community Connect program. My name is* * Required Field. I live at (please provide street number and name of street)* * Required Field. My phone number is* * Required Field. Email * Please enter an email address How can we help? A friendly phone callPicking up shoppingDog walkingLight gardening Or All of the above Urgent supplies (e.g. medication) Other (please specify) Type the code from the image: The code you entered is not valid. Get Audio CodeType the code from the image