Refer a family

Support- Friendship – Smiles

Sometimes a little help can make a big difference

Refer a Family

Our support is as varied as the families we work with. We can offer help with daily chores to enable parents to offload some of the worries and stresses of everyday life that are emphasised when illness strikes.

We also help to ensure children create lasting memories and fun times by helping them grant their personal wishes.

If you are a family who feels you could benefit from our support, or you know of a special family or child who would like to receive the gift of a smile then please do get in touch to refer a family today.

Complete and submit the online form on this page or contact us on 0203 609 4538.

Family Referral Form

Please tell us as much information as you can about the family you would like to refer for our support and children’s wishes.

We also accept telephone referrals, so if you have any problems completing the online form below then please contact us on 0203 609 4538.


    Your privacy is important to us, and we would like to continue to communicate with you in a way that is in line with UK law on data protection.

    The General Data Protection Regulation (GDPR) is coming into effect in May 2018 and as result of the changes in data protection laws, we need your consent for us to continue to contact you.

    By signing this form you are confirming that you are consenting to Grant A Smile holding and processing your personal data for the purpose outlined in our privacy notice available to read here :

    (Please tick the boxes where you grant consent):-

    I consent to Grant A Smile contacting me by:


    To keep me informed about my support, child wish application, news, events, activities and other services. (note you can unsubscribe from the mailing list at any time);To including my details in organisation database which is could be used with volunteers, employees, contractors and other government support agencies/organisations

    Please type full name below



    You can withdraw or change your consent at any time by contacting the Office Administrator at Please note that all processing of your personal data will cease once you have withdrawn consent, other than where this is required by law, but this will not affect any personal data that has already been processed prior to this point.

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