Christmas Self Referral

You may refer your family for Christmas using our Self Referral Form below. You may include all family members permanently living with you at your address.

The closing date for referrals is Sunday 26th November 2023.

Your referral will be prepared in November for delivery by 17th December 2023. Once we have prepared your referral we contact you by phone to arrange delivery.

Following your submission, please let us know any changes to your delivery address.

Christmas Self Referral Form

Referrals are NOW OPEN until 26th November 2023

Christmas Self Referral Form

"*" indicates required fields

1About the Family
2What is Needed?
3Equal Opportunities & Consent
First Line of Delivery Address*
Please enter a number from 1 to 10.
Please enter a number from 1 to 10.