Spread a Smile's February Half Term Virtual Sessions
Please use this form to sign up for any sessions your children wish to attend. This is for patients and siblings.
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number in this format, e.g. +447123456789.
Address - this will be used if any items need to be sent to take part in the sessions you select.
*
Address
Address Line 2
City
County
Postcode
Child's First Name
*
Child's Date of Birth
*
-
Day
-
Month
Year
Date
Which hospital does your child receive majority of treatment from?
*
Please Select
Barnet Hospital
Chelsea and Westminster Hospital
Great Ormond Street Hospital (GOSH)
The Evelina Children’s Hospital
King’s College Hospital
Newham Hospital
Noah’s Ark Children’s Hospice
North Middlesex University Hospital
Northwick Park Hospital
Princess Alexandra Hospital
The Royal Brompton Hospital
The Royal London Hospital
The Royal National Orthopaedic Hospital
St George’s Hospital
St Mary’s Hospital
The Royal Marsden Hospital
University College Hospital (UCLH)
Watford General Hospital
The Whittington Hospital
Southampton Children’s Hospital
Demelza Hospice
Leicester Children’s Hospital
Nottingham Children’s Hospital
Bristol Royal Hospital for Children
Addenbrookes Children’s Hospital, Cambridge
Christie Hospital, Manchester
Wrexham Maelor Hospital
Other
If selected other please specify
Please tell us any siblings that may be joining - Please tell us names and ages
Tuesday 14th February, 11am - Balloon Modelling Workshop - All ages
*
Attending
Not Attending
Tuesday 14th February, 4pm - Cupcake Decorating Workshop - All ages
*
Attending
Not Attending
Wednesday 15th February, 11am - Sensory Show with Embracing Arts - All ages
*
Attending
Not Attending
Wednesday 15th February, 4pm - Sharky and George Party - Ages 5-11
*
Attending
Not Attending
Thursday 16th February, 11am - Story Writing Workshop - Ages 8-13
*
Attending
Not Attending
Thursday 16th February, 4pm - Make up Workshop - Ages 11+
*
Attending
Not Attending
Friday 17th February, 11am - Meet the animals with Zoo2U - All ages
*
Attending
Not Attending
Friday 17th February, 4pm - TikTok Workshop - All ages
*
Attending
Not Attending
Any additional comments. Please tell us if there is anything you'd like us to know.
Submit
Should be Empty: