Foster Family Holiday Home Application Form Name(Required) First Last Email Address Contact Telephone Number(Required)Address(Required) Street Address Address Line 2 City County Postcode Total no. of Family Members(Required)Choice 1Haven Church FarmHaven Golden SandsHaven Seton SandsHaven HoptonHaven Devon CliffsHaven Primrose ValleyHaven GreenacresHaven Quay WestHaven LakelandChoice 2Haven Church FarmHaven Golden SandsHaven Seton SandsHaven HoptonHaven Devon CliffsHaven Primrose ValleyHaven GreenacresHaven Quay WestHaven LakelandChoice 3Haven Church FarmHaven Golden SandsHaven Seton SandsHaven HoptonHaven Devon CliffsHaven Primrose ValleyHaven GreenacresHaven Quay WestHaven LakelandAre your children pre-school age? Yes No IMPORTANT: if you answer yes it is likely you will be offered a break outside of the school holidaysPlease confirm the care you currently provide:(Required)Fostering through agencyFostering through local authorityKinshipSpecial guardianship orderPrivate family arrangementIs the child you are caring for a relation of yours?(Required) Yes No No. of Years caring for children(Required)12345678910+Are you receiving child benefit for the child?(Required) Yes No Do you have a social worker that can confirm you are a carer?(Required) Yes No Yes – Email address of social workerNo – please advise how you can provide evidence of care(this is a requirement)Have you had a holiday with the Alex Timpson Trust before?(Required) Yes No Do you need pet friendly accommodation?(Required) Yes No Will a family member need additional support or any adaptions? If yes please provide detailsAny other information that may be useful for your applicationCAPTCHA
