Details of the child you would like to nominate.

Name (required)*

Date of birth *




Helps to care for a parent or siblingHas been part of a family bereavementYoung person who has been a victim of crime, been traumatised as a crime witness or has been a victim or serious bullying or hate crimeYoung person who has displayed exemplary good behaviour, or bravery, to the benefit of their school, community or society in general

(Tell us in no more than 300 words, what happened to the candidate – or about the good conduct or bravery that they have displayed.)

Do you have any independent or media evidence newsletter or website cuttings to support this nomination? You may be asked to show the evidence before the award is made.
Is the candidate, and/or his/her parents or guardian aware that you are nominating them for this holiday award? *
Have you established that, subject to availability, the nominee and their family, will be able to take up the offer of a holiday?*
You warrant that the information submitted in this form is, to the best of your knowledge accurate and true.*

Your details

Your name (required)*

Your date of birth *


Your email address*

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