Children Application Form

Thank you for your interest in our charity for Scottish Children with Life Threatening Illnesses.

Please complete the form below. Once we have received your form it will be reviewed by our Trustees and if your child is eligible, we will be in touch within 30 days. If you do not hear from us unfortunately your application has been unsuccessful.

The information you provide is strictly confidential. We welcome applications for any Child from age 1 to 16 years with a Life-Threatening Illness that meet our criteria. (Which is available on request).

The Les Hoey MBE DreamMaker Foundation abides by the Data Protection Act 1998 and operates an Equal Opportunities Policy.

Child's Details:

Parent/Carer Contact Details:

By putting your initials here you are agreeing to provide photos of any gifts or experiences you receive from the charity and that you authorise us to use them.

Health:

By completing this online form you are agreeing to us contacting them

Child's Likes: