Application

If you know the parent of a child that would like to be considered for a FREE ‘Box of Rainbows’ please invite them complete the application form here.

Enquiry Form

First Name of Parent

Last Name of Parent

Address

Contact number

Email Address

Name of child

Age of child

What difference do you hope this Box of Rainbows make to your child?

What challenges does your child face on a day-to-day basis?

What does your child like? (favourite colour/dinosaurs/butterflies etc..)

What should we avoid, what does your child not like? (spiders / glitter)

Any other information you’d like to tell us?

In order to be able to process your application we require your consent for us to hold your information on file. Please note that whilst we do have to store information for grant funding reporting, this information is anonymised unless you choose to give us permission to share photos or feedback.

Application

Enquiry Form

Schemes

REMO Charity

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