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Nominate a child 2018-04-26T16:04:54+00:00

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: MaleFemale

Date of birth:

Address:

Email of parent/guardian:

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

Is the child a wheelchair user?YesNo

Can the child transfer from their wheelchair?YesNo

 

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^:
EntertainmentFootballEquestrian/Jockey Club Family DaysRugbyAny Sport

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

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

By providing the personal information set out on this form, you acknowledge that the Barrie Wells Trust (‘the Trust’) may contact the child’s parent/guardian to invite the child to future Box4Kids events. In addition, with the parent/guardian’s consent, any of the data provided on this form together with any pictures or videos taken at a Box4Kids event will be stored on a secure database and may be used by the Trust to promote Box4Kids on its social media platforms, website and printed publications and may be shared with box holders, venues and the press. You have the right to withdraw your consent to any uses of this data by the Trust at any time by notifying the Trust using the contact details below:
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.