Office use only: __/__/____ Signature:______Wedding Application Form

This is application form for those wishing to apply for help to fund & organise their . Applications will be welcomed from anyone who is terminally ill or suffering from a life limiting illness, living in the UK. The applicant or family member must complete this form in full, and a medical professional involved in the patients care and treatment is required to countersign this form and consent to being contacted by a member of our team. Please include at least one recent photo of the couple. Please send your completed application to [email protected] If you have any questions please email us using the same email address. All information provided is held in strictest confidence and stored inline with the GDPR regulations. Please note: Applications will not be processed until all relevant documents are received.

DETAILS OF COUPLE

Title: Title:

Full name: Full name:

Date of Birth: Date of Birth:

Full Address: Full Address (if different):

Telephone No.: Telephone No.:

Email: Email:

How many children do you have? Have either of you been married before? before? Are both of you legally divorced if you have been married before?

MEDICAL CONDITION Please use the space below to explain your medical diagnosis and provide us with as much information as possible

THE WEDDING DAY- please use the space below to describe how you would like us to help. Include as much information as possible i.e. Guest numbers, Venue ideas, colour schemes/styles, preferred dates. Please also include any information regarding anything you have already booked or confirmed.

DETAILS OF MEDICAL PROFESSIONAL CONTACT

The Wedding Wishing Well Foundation will need to contact a medical professional involved in your care and treatment, to discuss your application and diagnosis. Please ask a relevant medical professional (e.g. Consultant, G.P, Specialist Nurse) to complete and sign the following section. All information provided will be treated in the strictest confidence.

Name:

Professional Title:

Office Address (Inc. Postcode):

Contact Telephone no. & EXT:

Direct Email:

Supporting Information Please provide relevant information about the medical condition of the applicant and why they should be accepted by, The Wedding Wishing Well Foundation. Please also include details of any special requirements we should take into consideration should they be accepted.

Declaration of Professional: I certify that the information given on this form with respect to the medical condition of this applicant is correct.

Signature: ______

Full Name: ______

Date: ______

FREQUENTLY ASKED QUESTIONS

Who is a medical professional? Someone who is involved in your care and treatment, E.G. your GP, nurse or consultant. They will be asked to support your application and if you meet the criteria. This cannot be your carer. All information received is treated in the strictest of confidence.

Are there any limits as to what wedding we can have? We will meet with you to discuss your application should you be shortlisted. At this meeting we will talk in depth about the kind of wedding you would like, how many guests etc. It will be then that we decide if we have enough funds and suppliers in your area to carry out your wishes. The more extravagant the wedding the less like it is that we will be able to. However we can put on a more than substantial wedding for our applicants.

What sort of things would you like to see from my application? We want to get to know you, this isn't always possible from a written application. So we want to see photographs, videos, letters, poems, anything that you think will show us why it is so important that you marry each other, what your home life is like, how hard it is living with your illness. Please grab our attention with your applications.

I've sent my application now what? We aim to look at your application within a week of receiving it. We will then discuss with the board of Trustee’s your application, how and if we think we can help you. If we think we can we will then meet you to go over your wedding expectations. If after that we feel we can help we will commit to your wedding. If we cannot meet your expectations we will contact you. If you wish to reapply then you can do after 1 month has passed form the date on your rejection correspondence.

What happens if I am too ill to go ahead with the wedding? If the wedding is growing closer and it is looking unlikely that you will be able to go ahead. We ask you to let us know in writing as soon as possible so that we can cancel all our suppliers. If this hap- pens and you would like to try again at a later date then contact us to discuss this. Again in the event of death please contact us before the wedding date.

Who meets the cost of our wedding? * The Wedding Wishing Well will try to fund all or part of your wedding, however you will know how much is covered from the beginning. We meet the cost by dealing with suppliers who work with us providing very generous discounts or their services for free. For the remainder of the costs we have fundraising teams who work tirelessly to keep the funds coming in. Damages or expenses due to theft during the Wedding will be charged to the & groom. *Please note that we DO NOT cover the cost of the (i.e. , church fees, registrars fees etc.)

Can I get involved? If you would like to be involved with The Wedding Wishing Well Foundation then please contact us at [email protected]

What if it rains? As much as we try and make your wedding day perfect, unfortunately the weather is out of our control. We will try and still make it as special as possible whatever the weather.

What happens on the day? On the day where possible a will be with you to make sure that any problems are ironed out.

Problems? Occasionally problems can arise, as we are working with 3rd parties, which are out of our control. But by having a wedding planner present these can be kept to a minimum so that your wedding goes very smoothly. Sometimes things do happen which are out of our control. Please rest assured that those working on your wedding will do their best to make sure this does not happen.

What can I ask for? You can ask for anything you like. We do our best to be able to get you the things that you have always dreamed of for your wedding. We cannot promise that everything will be possible but we do our best to make your day extra special.

Do you offer cash grants to get married? No we do not offer sums of money to couples to get married nor cover the cost of suppliers (including venues) arranged by the couple prior to acceptance. All other suppliers need to be discussed with the team before approaching, as we will negotiate on your behalf.

What's the catch? There is none! We are hear to make sure that no matter what your health situation is that you have the wedding day you've always dreamed of.

Terms & Condition of this application

The Wedding Wishing Well Foundation supports applications for same sex ; divorcees but we do not condone applications from incestuous relationships, as this is illegal.

We also do not discriminate against religions or race.

The Wedding Wishing Well Foundation may not be able to cover the whole cost of your wedding but we will discuss this with you after we receive your application. We will try to fund all or part of your wedding, however we will help with the organising of your special day.

We cannot also fulfill the wishes of every single application we receive. We will meet with the board of Trustee’s who will discuss a number of applicants and decide who we can help with the team, budget and suppliers we have.

Our budget isn't end less!

Any expenses incurred due to damages or theft will be the responsibility of the bride & groom without acceptation.

Should you feel that the wedding needs to be cancelled due to illness or death then please let us know as soon as possible so that we can let our suppliers know.

To apply for help from The Wedding Wishing Well Foundation you must meet the following criteria:

• I am free to marry • I am in receipt of a means tested benefit • I live in mainland England or Wales.

DECLARATION AND CONSENT OF APPLICANT

Declaration I hereby give my full consent for the stated healthcare contact to discuss my medical condition with the Foundations team and to discuss with the Foundation such addition information as is necessary to process my application and to plan my wedding. I certify that the information given above is true.

Consent I understand that as part of my application The Wedding Wishing Well Foundation will be processing personal data including that of a sensitive nature: • Processing my application for a wedding request • Discussing with The Wedding Wishing Well’s board • Liaising with medical practitioners • Internal statistical analysis • Liaising with 3rd parties to organise your wedding day • Using your details for publicity if we organise your wedding for you.

The Wedding Wishing Well Foundation will NOT share your information for marketing purposes with companies outside of the organisation. I can confirm that all the information provided in this application is the truth to the best of my knowledge. In the event of damages or theft on our wedding day I will be held responsible and will pay any charges incurred.

*Signature ______

*Print Name ______

*Date ______