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HOLIDAY APPLICATION FORM

Under normal circumstances, Ellie's Haven will only offer holidays to families with at least one child receiving Disability Living Allowance (DLA) or Personal Independence Payment (PIP).

Please complete the form below and submit it online. Alternatively you can download and print the form so that it can be completed by hand and mailed (or scanned and emailed) to us at Ellie's Haven, Duloe, Liskeard, Cornwall PL14 4PW - email info@ellies-haven.org.uk

Please read our booking conditions!

What happens next?

Upon receipt of your application we will assess it along with all other applications and get in touch to let you know the outcome.  If we are able to offer you a holiday we will suggest some possible dates.   Please take a look at our Availability Calendar  to get an idea of what's likely to be feasible.

Please note that we only have one full-time member of staff so replies may take up to 5 working days depending on demand.

Following agreement on the date of your holiday we will write to you by email and hard copy requesting confirmation of your acceptance as soon as possible. If we do not receive your confirmation within 10 working days we will send you a chaser, again by e-mail and hard copy. If we still do not receive your confirmation within a further 5 working days of the chaser we will have to offer the dates to another family; so please ensure we can contact you by phone should the need arise.

We understand that in certain unforeseen circumstances you may need to cancel your holiday. If this is the case please let us know as soon as possible so we can offer that period to another family and also find a new date for your break. Demand for holidays at the Haven is high and on the open market during high season would cost more than 1000 per week.

Details of person requesting holiday:
Name*
Full Postal Address*
Postcode*
Tel*
Email*
Name of the child
Relationship to the child
Is the child receiving DLA or PIP?*
Please describe the child's medical condition and treatment in no more than 200 words:
Please explain why this family needs a holiday in no more than 200 words:
About your stay:*
How many bedrooms do you need?
Are you prepared to share Ellie's Haven with another family?
Do you need the child's bedroom to be downstairs?

Once you have submitted this form we will contact you to discuss dates.


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By submitting this application, you confirm that you agree to the above data being held in a secure database by Ellie's Haven. It will be used to assess your elegibility for a holiday at Ellie's Haven and will not be passed on to third parties without your consent.

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Ellie's Haven - Cornwall Ltd. Charity No: 1121426
Registered in England & Wales No: 006345083. Registered address: Plym House, 3 Longbridge Road, Marsh Mills, Plymouth PL6 8LT