Step 2) Please apply for your gift by filling out the form below



  • About the referrer/nominator:

  • DD slash MM slash YYYY


  • Details of the parent who you are nominating or referring for the gift/experience:

  • DD slash MM slash YYYY
  • DD slash MM slash YYYY
  • The train voucher will be with LNER and can be used on any train line that is available on their app or website and fuel will be a Tesco gift card that can be used on fuel courts.
  • Something To Look Forward To Ltd reserves the right to seek confirmation from your referring agency if it is deemed necessary. I hereby give my permission for the referring agency to be contacted.
  • Referrer to confirm that they have seen paperwork on hospital letterhead paper that confirms that the person who is being nominated has an incurable cancer diagnosis and that they have dependent children under the age of 25 years old.

  • Data Capture – Required Information

    The following information is required in order to supply data to our existing and potential funding bodies and will only ever be shared anonymously. This information opens up additional funding opportunities to the charity enabling us to support more people living with cancer.

    What is your ethnic group?

    Please tick only one option.