If preferred you can download and print a pdf file of the application form here. Please read the Rules before proceeding and attach a copy of the Rules to your application form. The application form will not be valid without the Rules.

APPLICATION FORM

A relative or friend may complete this Application Form but a Headteacher,
Social worker, Health visitor, Priest or GP must support it.

Name and age of child______________________________________________________
School (See Rule 3) __________________________________________________________
Home address/postcode/telephone (See Rule 4) ___________________________________
Name of applicant (Parent, Guardian, Friend, Relation) _______________________________
Address (if different from above) and telephone number ___________________________

Application supported by (name) (See Rule 2) __________________________________
Position (Headteacher/Social worker/Health visitor/Priest/GP)_______________________________
Professional address_________________________________________________________
Daytime telephone number____________________________________________________

What activity are you applying for? (See Rule 6 and Rule 7) ________________________
How long will it last (ie. is it a one-off event or a course?)?______________________________
What is the cost?___________________________________________________________
Who should cheque be made payable to?(See Rule 12)___________________________
When ideally would you like the Childrens Chance to take place? Is there any urgency?
(See Rule 1 and Rule 5) ________________________________________________________

Which welfare benefits (e.g. IS, JA, DLA, IB, CTC, CTB, SSP, WPA, WTC) do the child’s family/legal guardians receive (Proof may be required)? ______________________________

I accept the Rules /Signed (Applicant)__________________________Date________

_______________________________This section to be completed by Supporter______________________________

Why are you supporting this application for a financial award?


Signed (Supporter)_______________________________Date_________________


" To provide recreational, cultural and educational opportunities to children within a thirty mile radius of Salisbury Cathedral with a preference for children in Salisbury who would not otherwise be able to access such activities".

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Registered Charity 1069104