Sign up to visit a Home from Home

Please complete the below form if you would like to visit a Home from Home and we will contact you to arrange a suitable time to visit. 

Please do remember that you will be visiting sites where there may well be very sick children and young adults and visiting times may be restricted.

If you are feeling unwell yourself it is vital that you do not pass on any infections to those with potentially low immune systems so please alert your CLIC Sargent contact immediately in advance of a visit. 

Privacy Data
From time to time CLIC Sargent may wish to contact you with further information about our work. Should you prefer not to receive this information please tick the appropriate box(es).
At CLIC Sargent we will always keep your details safe and you can unsubscribe from our communications at any time.