Application Form

Group Holiday Application Form

Introduction

Applicant

Next of Kin/Emergency Contact

Additional Contact Details

GP Name and Address

Guest Information

Medical Conditions, please indicate if you have any of the following and give details.

I need assistance in the following:

Additional information

Medication

Data Protection

Under the General Data Protection Regulations (GDPR) we require your consent to collect and process your personal information. Please confirm your agreement in the boxes provided:
All your personal data shall be kept confidentially by The 3H Foundation for a time deemed necessary.
I give permission for The 3H Foundation to forward relevant data to the holiday partner, Outward, for holiday care assessment.
I give permission for The 3H Foundation to publish any photographs and/or comments in newsletters, leaflets, on their website and/or for reporting back and promotional purposes.
The 3H Foundation may wish to keep you up to date with our news and offers. If you wish to be added to our mailing list, please tick here.