Chips - Contact us

If you think you are able to help us raise funds, or if you know a disabled youngster who needs our help, please fill in the application form below or email us at: Chipscharity@AOL.com

Preliminary Application Form


Name of Child
Date of Birth
Family Address
Postcode:
Family Telephone Number
Does the Child live with the family?	Yes No
If 'No' or Part Time give childs main address
Name & Address of child's school
Postcode:
Schools Telephone number
Please describe the nature of the childs disability
Parents surname if different to child so that we can address letters correctly

CHIPS only has limited funds and therefore not all applications will be successful.

CHIPS will only consider youngsters who have been turned down by Local Authorities/NHS.

All applications are considered on their merits and grants made are dependant on the availability of funds to the Charity at any particular time.