This form is to be completed by a parent or guardian.
Every child is different and family circumstances can vary drastically. To help Little Heroes Foundation make informed decisions on the support requirements of families with seriously ill children, please ensure that you fill in all sections of this form where possible.
If you have any questions about your application, how we can help your family, or would like to have a section of the form explained to you, please contact us.
If English is not your first language and you would like someone to assist with communication, please include their contact details below