• Youth Cancer Trust Holiday Application Form

    If you are eligible for a Youth Cancer Trust Holiday, please complete and submit the following full application form. If you are unsure, please complete the enquiry form or contact us on 01202 763591. Once we have received your submitted form, we will be in touch to arrange the details of your holiday.
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  • Your Parent / Guardian / Next of Kin details in case of an emergency

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  • Medical Information

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  • Current On-going Medical Status

    PLEASE NOTE - To meet the criteria for a Youth Cancer Trust holiday, the applicant will need to be able to self medicate.
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  • HOLIDAY DATES

    Please note - Youth Cancer Trust holidays take place from Mondays to Fridays (not weekends), all year round.
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  • EMERGENCY MEDICAL TREATMENT CONSENT

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  • YOUTH CANCER TRUST HOLIDAY ACTIVITIES

    Activities are optional and if the applicant does not feel well enough to take part, they can either accompany the group or stay at the house. Activities can include horse riding, go karting, water sports, sailing amongst others
  • PARENT / GUARDIAN CONSENT - IF APPLICANT IS UNDER 18

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  • PUBLICITY

    To encourage funding and support of the Youth Cancer Trust we sometimes use photos of the groups during their holidays and make reference to the applicant's stay at Youth Cancer Trust for press releases and other promotional / publicity materials. We may include their first name (not surname), age and the area they live (not address) E.g. Vicky, aged 16 from Dorset.
  • AGREEMENT - We understand that sometimes holidays have to be cancelled at short notice due to ill health. However, if you have to cancel due to work or other activities, please do give us as much notice as possible.  These holidays cost the charity substantial amounts of money so please allow us plenty of time to offer your place to someone else.

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  • EQUAL OPPORTUNITIES

  • TRANSPORT PLANNING

    Please read and complete the following carefully: Please book your travel tickets at least 14 days in advance to obtain preferential rates and then confirm all of your travel arrangements with the office (01202 763591 or admin@yct.org.uk or via our Facebook page). If you need help with your travel arrangements, please let us know as soon as possible at the time of booking your holiday. YCT holiday guests and companions are asked to arrive after 2pm on the Monday and to leave Tracy Ann House by 11am on the Friday if possible. We understand if train times do not permit this.
  • THANK YOU FOR TAKING THE TIME TO COMPLETE THIS FORM

    The completion of this form is a legal requirement for Youth Cancer Trust. Please Note ** Youth Cancer Trust does not disclose personal data to third parties. Personal data is kept confidential and only used for the purposes of arranging your holiday and keeping in touch with you.If you have any questions relating to this form or Youth Cancer Trust holidays please telephone 01202 763591 and we will be happy to help.
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