Application form

The Special Children Travel Fund supports children with long-term illnesses and children living with difficult circumstances. Allocations from the fund are made twice a year, on the First Day of Summer and the First Day of Winter.

The next allocation will be on the First day of winter October 23rd, 2021. The deadline for applications is September 1, 2021.

The Special Childrens Fund supports children from 6 to 16 years.

Applicant's name*Required	This field is required	Date of birth*Required	This field is required
Address*Required	This field is required	Postcode/Zip*Required	This field is required
City*Required	This field is required	Telephone*Required	This field is required
Country*Required	This field is required

Parent name/ Guardian*Required	This field is required	Date of birth*Required	This field is required
Address*Required	This field is required	Postcode/Zip*Required	This field is required
City*Required	This field is required	Telephone*Required	This field is required
Relationship with child*Required	This field is required	Email *Required	This field is required Invalid email address

Parent name/ Guardian*Required	This field is required	Date of birth*Required	This field is required
Address*Required	This field is required	Postcode/Zip*Required	This field is required
City*Required	This field is required	Telephone*Required	This field is required
Relationship with child*Required	This field is required	Email*Required	This field is required Invalid email address

Siblings up to 18 year old living at same home address as applicant


Siblings name	Date of birth

Those who are travelling with child (max 8)


Name	Date of birth	Address

Applicant on behalf of child

Name*Required	This field is required	Date of birth*Required	This field is required
Address*Required	This field is required	Postcode/Zip*Required	This field is required
Email*Required	This field is required Invalid email address	Mobile*Required	This field is required

Doctor for further information

Name		Speciality
Workplace		Telephone

Has the child or family taken vacation abroad? if so, when and what destination?*Required

This field is required

Have you applied before?*Required

This field is required

Diagnosis and description of illness:*Required

This field is required

Information about the family:*Required

This field is required

Language, does one or both parents speak a different language?*Required

This field is required

Driving, can one or both parents drive a car abroad?*Required

This field is required

Vildarbörn

Application form

The next allocation will be on the First day of winter October 23rd, 2021. The deadline for applications is September 1, 2021.

Has the child or family taken vacation abroad? if so, when and what destination?*Required

Have you applied before?*Required

Diagnosis and description of illness:*Required

Information about the family:*Required

Language, does one or both parents speak a different language?*Required

Driving, can one or both parents drive a car abroad?*Required

Other information that you think are important: