Participating Organisations may use this form to nominate children who they wish to enrol on one of our entirely free flight programmes.  This Form may also be used by any Person who wishes to nominate a sick child to any one of the programmes.

For determing the Priority Group and give the correct answers to the 3 value based filters found at the end of this Form please refer to the Prioritisation Methodology Document.

Parents or other persons who wish to nominate a child who is suffering from a serious illness please choose ‘Other’ when making a selection under the ‘Entity or Person making the Nomination” section.

FOR HELP IN COMPLETING THE FORM PLEASE CALL ON 99440364