文档介绍：Applications must be endorsed by a Doctor, Social Worker or qualified medical or health care professional Endorsement (PLEASE TYPE OR USE BLOCK LETTERS) Name of Child/Young Person: …………………………....……………………….…..… He/she has been diagnosed as living with a potentially life -shortening illness namely: ……………………………………………………………………………..……………………….….. Please state, in your professional opinion, how the items requested in this application will be of benefit to the child and their family or enclose a covering lett er Full name of person endorsing this application: …….………….………………………………………………………………………………………….………………..…….……….. Relationship to Child (. Doctor, Social Worker etc.) ………………………………………………………………………………………………….……. Address: …………………………………………………………….………………..…….….. ……………………………………………………………………………………………………….. ………………………………………………………………………….………………………...….. Post Code: ……..………………… Email: ……..…………..………………. …………….. Telephone No: …………………………………… Fax No: …………………..……….. React correspondence to: Family ? or Sponsor ? Signature: ………………………………………… Date: ………………………….….……. React : Rap