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Resource Order Form

We can provide free resources via post to help aid you and your family on your journey dealing with one of life’s toughest tests. Please let us know which resource you would like to order and will aim to fulfil your request as soon as possible.

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"*" indicates required fields

What resources would you like to receive?*

Choose from one of the options below, or select both to receive a copy of each resource.

This Is About You & Me Workbook

Little C Club x RSF Flashcards

Full Name*

Which of the following best describes you?*

Parent

Stepparent

An individual with caring responsibilities

Healthcare professional

Education professional

Other

Name of your organisation*

Your role*

Can you tell us why you have ordered this resource?*

Just to let you know...

We have a separate order form for healthcare & education based professionals containing more options better suited to your line of work. Click here to be redirected!

If you are a parent, step-parent, or primary caregiver, tell us a bit about you and your family...*

Are you ordering the resource for yourself, or on behalf of someone else?*

How many children do you have in your family /the family that will use this resource?*

What are each of their ages?

Please note the resources are most suitable for kids Little C club: ages 4-9 years. This is About Me and You: ages 4-14 years

Child 1 Age

Child 2 Age

Child 3 Age

Child 4 Age

Child 5 Age

Child 6 Age

Who in the children's life has a condition that cannot be cured and they know they will die?*

Delivery Address*

Street Address Address Line 2 City County Postcode Country

How did you hear of this resource or RSF?*

Please Specify*

This is a new resource, and we are hoping to develop more in the future, would you be willing for us to contact you to request feedback on how you found this resource?*

Your Email*

Name

This field is for validation purposes and should be left unchanged.

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What are each of their ages?

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