Applying for one of our services

If you work closely with a child or young person with cancer who you feel would benefit from our services, please download the application form/criteria below. Please contact the office for the current password.

Applications are currently being accepted from the following organisations:-

Clic Sargent, Macmillan, Children and Young People’s Hospices, Adult Hospices – for referrals up to and including the young person’s 25th birthday.

All forms must be submitted via Mimecast/secure email. Please do not post, fax or attach applications to emails. 

If you are a parent or carer and wish to make a direct referral, please contact the office where you can discuss your needs on 0191 2610971.

CASH GIFT APPLICATION FORM