Centaurus Trust Application Form Charity number 1133212

Centaurus Funding Application Form

Full Name:*
Date:
Address:*
Phone Number:*
Email Address:*
Name of child or young person:*
Age of child or young person:*
What would you like to apply for support with?:
- Therapeutic Horsemanship Sessions
- Inspiring Riders Sessions
- Camp Bursary
How do you feel that this would benefit you / your child? :*
Household Income:*
Does you child / children receive free school meals?:
- Yes
- No
If we agree to sessions, do you agree for photos and videos (taken with permission) to be used on our website / social media / promotional videos? :
- Yes
- No
Would you like to be added to the Centaurus Trust / Equine Learning CIC email newsletter? :
- Yes
- No

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