Request Support From Happy Faces Children's Charity

The Happy Faces Children’s Charity supports sick, disabled and disadvantaged children, under the age of 18, living in North Wales. The Charity may purchase or contribute towards a wide range of items, equipment, resources and activities however the Charity does not provide finance directly to an individual. The charity also will not supply iPhones or televisions.

Appeal Application Form

Date

Name Of Child

Age Of Child

Gender Of Child

Applicant Details

Name Of Applicant

Relationship to the Child

Email Address Of Applicant

Phone Number of Applicant

Address of the Applicant

Parent or Guardian Details

Name of Parent Or Guardian

Email Address Of Parent or Guardian

Phone Number of the Parent or Guardian

Address of parent or guardian

Parent or Guardian Post Code

Delivery address (if not already provided)

Delivery Post Code

Medical or physical condition of the child

Is the application for a school or organisation? If so, provide name & address of school or organisation with a named point of contact plus their contact details

Appeal Information

Provide information on what you are asking Happy Faces to consider purchasing or contributing towards

Appeal specification

Appeal Source

Appeal Cost

In order to strengthen your application are you able to provide independent confirmation of the child's condition or situation? (Max of 5 files).

Document Upload

If your application is successful, do you agree to Happy Faces using photos of the child/children with the donated items in local publicity, on our website and on social media?*

Yes No

I understand that as much detail as possible is required. If insufficient enquiries will have to be made. If, after 3 months from the date submission details remain insufficient the application will be deleted and a new application will be required.

I confirm that all the information provided in support of this application is both correct and true.

I confirm that all the information provided in support of this application is both correct and true.*