CHILDRENS APPLICATIONS

MUST BE COMPLETED BY PARENT / GUARDIAN

We will accept applications up until the child's 16th Birthday.

Please complete the form below and once received it will be reviewed by our Team and if your child is eligible and successful, we will be in touch within 30 days. If you do not hear from us unfortunately your application has not been successful.

Sick Childs Full Name

Parent/ Guardian Full Name

Childs Date of Birth

Day

Month

Year

Address

Phone

Childs Diagnosis , Date of Diagnosis and Doctor

What do you want to apply to DreamMaker for ? The more specific the better.

Tell us what you like, Music, Sport, Toys etc, The more specific the better.

Parent/ Guardian Signature. By Signing this form you are agreeing to provide and allow us to use any photos of gifts or experiences you receive and you are authorising us to use them for charity benefit.

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Date Signed