Beds4Kids referral

Beds4Kids referral

Beds4Kids is a campaign facilitated by Family2Family to help ensure children have a bed of their own to sleep in. The campaign will be available whilst funded. Please only refer children who do not have a bed, or whose existing bed is broken / does not meet health or safety needs.
Your name*

First NameLast Name
Email*
example@example.com
Your contact number*
Which of these best describes your job title?
Which of these best describes your place of work?
About the family
Unlike our core service referrals for essential items, Beds4Kids sees the charity order beds online and have them delivered directly to families. This means we need to collect some information about the family so we can complete the request. Our Data Protection and Privacy policy can be seen on our website.
You will need consent from the family for a name, address, and contact number to be shared with Family2Family so we can place an online order. Please confirm you have gained consent for this information to be shared*

Yes, I confirm the family have given consent
Name of parent who will receive delivery*

First NameLast Name
Address for delivery*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact number (for order details / courier use)*
Your request
Child 1: Age and Gender
Child 2: Age and Gender
Child 3: Age and Gender
Child 4: Age and Gender
Please describe the current sleeping arrangements in the home.
Please select the items needed

Single bedSingle mattressBunk bedDuvet and pillowDuvet cover setFitted sheet
Please confirm which of the children are in need of the items selected. Eg. 'Child 1, child 2' etc
Referral Terms & Conditions

1. Families cannot self refer. Referrals can only be made by a professional on behalf of a family.

2. Referrals can be made for babies and children aged 0 - 16 living in East Sussex or surrounding areas.

3. Only refer families who are experiencing financial hardship or poverty.

4. Please make sure you have only selected items if the family are in desperate need i.e because the child does not have a bed, or their existing bed is not meeting their health or safety needs.

5. Families can only access Beds4Kids funded beds once.

6. The information provided on this form will be stored as per our GDPR policy. You must gain consent for details to be shared with us.
T's & C's acknowledgement*

I have read and agreed to the T's & C's
Professional agreement*

I confirm that I am a professional requesting Beds4Kids support on behalf of a family experiencing financial hardship
Consent for this referral*

I consent to the data on this form being stored so Family2Family can provide the support requested. The family have given consent for their details to be shared for this purpose.
Please click 'send referral' to submit your request and we will get back to you soon. If you have not heard from us, please check your spam folder for details regarding your referral. Thank you
Should be Empty:

Beds4Kids referral

About the family

Your request