Application for supportStep 1 of 333%Email(Required) Parent / Guardian Name(Required)Child's / Siblings Name(s) & Age(s)(Required)Which type of support are you applying for? (one per family) Music Therapy (1:1 at home) Animal Therapy (1:1 at home / park) with Violet the Assistance Dog Support Voucher (please detail which shop in the next box) Equine Therapy (ages 7 and above) at Horserenity Parent Wellbeing Therapy of Choice (please detail your request in the next box) Sibling Wellbeing Therapy Art TherapyWhere are you in your child's cancer treatment Newly Diagnosed In Treatment Just Finished Post Treatment (Up to 2 years) BereavedIf your request is for support for child/sibling please detail their name and age:Support Vouchers : Which shop do you require the voucher for?Wellbeing Therapies : Which therapy would you like to access for support?Agreement(Required) I understand when funds are limited and we may not always be able to offer the provision applied for.Please note one request per form, you are more then welcome to apply for more than one area of support but need a seperate form for each one.
