Zero Cost Care Packages Form | LittleHeroesProject

Apply for a Zero Cost Care Package

Tell us more about yourself and your tamariki, so we can cater the Zero Cost Care Package to your needs

Full Name of person filling out the form (If you are part of an organisation, please put in your code)

Full Name of person recieving care package

Phone Number

What is the address of the person receiving the care package?

Ethnicity/s of the family receiving the care package

Child's Gender

Child's Age

Are there any specific items the child needs?

Information about the Parent/s/Guardian

Tell us your story and why this zero cost care package would help you

How did you hear about us?

Thank you for taking the time to apply for the Zero Cost Care Package, The Little Heroes Team will get back to you as soon as possible with whether your application has been accepted!

Thanks for Applying!

Apply for a Zero Cost Care Package

Address

Phone

Email

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