Need kit

We aim to provide one full kit per person and ask that referrals are submitted by a professional (e.g. teacher, social worker, family worker, food bank assistant, community worker, etc).

Please ask a professional to complete this form for you and we will notify them by email once the kit has been delivered to the chosen click+collect location.

Holly’s Active Stars
Unit 12
26 St Thomas Place
Ely
CB7 4EX

info@hollysactivestars.org.uk

Referrer's name*

Profession*

E-mail*

Family/Individuals Initials and Postcode (for parcel identification)*

Click+Collect Location*

County*

Kit requested*

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