Nominate a deserving child for an unforgettable VIP experience with Box4Kids!

Who do we help?

We accept applications for seriously ill and disabled children aged 8– 18 ^

What do we offer?

The child and one adult guest of their choice will be invited to an executive box to enjoy luxurious VIP hospitality at a major sporting or entertainment event. The boxes provide a safe, relaxing environment and quality time for the child and their guest.

With more than 75 iconic UK venues on board across 11 different sports and entertainment arenas, Box4Kids offers something for everyone. Please visit our events page to have a look at previous Box4Kids experiences we have organised.

How to apply

To apply is simple: just fill in the form below, or download one here and send to us via email (info@barriewellstrust.org) or post (Barrie Wells Trust, CityLab, 4-6 Dalton Square, Lancaster, LA1 1PP), and we will be in touch if we have an event that suits!

Nominator’s details

Your name:

Relation to child:

Contact number:

Email:

 

Child's details

Name of child:

Child's gender:  Male Female

Date of birth:

Address:

Email of parent/guardian:

Contact number(s) of parent/guardian: (mobile preferred)

Is the child a wheelchair user? Yes No

Is the wheelchair transferable? Yes No Not applicable

 

Hospital's details

Name of hospital contact

Contact's position:

Hospital:

Hospital contact number:

Hospital contact email:

Summary of medical condition(s) and reason for nominating:

Event(s) of interest^:
 Entertainment Football Equestrian/Jockey Club Family Days Rugby Any Sport

Additional information (e.g. Favourite team, sport, performer or location):

How did you hear about us?
Other (How did you hear about us?):

Box4Kids is a programme run by the Barrie Wells Trust (registered charity number 1131478).
With the parent/guardian’s consent, personal and medical information provided on this form and pictures and videos taken at the event may be used by us to promote Box4Kids on our social media platforms, website and printed publications and may be shared with box holders, venues and the press. Any details will only be shared with the strictest regard to the child’s privacy. Allowing us to share this information helps create more Box4Kids memories for deserving children. You can ask for the child’s details to be removed at any time from our records by emailing info@barriewellstrust.org.

 By ticking the box and submitting this form you agree for the information provided to be used in the way described above without prior notice or explicit approval.

As Box4Kids relies on the generosity of box holders, we cannot guarantee an event for every application.

For more details about our nomination procedure please visit our FAQs.

^ For entertainment events we accept applications for children aged 6 and above.