Applicant Details

First Name (required)

Last Name (required)

Position in the Family (required) —Please choose an option—ParentSpousePartnerCousinAuntUncleGrandparentGrandchildFamilyOther

Street (required)

City (required)

Postcode (required)

Mobile phone (required)

Email (required)

What Local Authority do you stay in? (required)
—Please choose an option—Aberdeen CityAberdeenshireAngusArgyll and ButeCity of EdinburghClackmannanshireDumfries and GallowayDundee CityEast AyrshireEast DunbartonshireEast LothianEast RenfrewshireEilean Siar (Western Isles)FalkirkFifeGlasgow CityHighlandInverclydeMidlothianMorayNorth AyrshireNorth LanarkshireOrkneyPerth and KinrossRenfrewshireScottish BordersShetlandSouth AyrshireSouth LanarkshireStirlingWest DunbartonshireWest LothianOther

Have you previously had a holiday through the Holiday Scheme? (required)
—Please choose an option—YesNo

Additional People

Total Number of Adults (required)

Total Number of Children (under 18)

School (select all that apply)
PrimarySecondary

Holiday Application Details

Disabled Access The Caravan is not Wheelchair friendly at present. There are steps leading to the entrance of the caravan, would you be able to manage these? (required)
—Please choose an option—YesNo

Our Holidays and Breaks are offered between March and October each year. Our holidays are either Friday to Tuesday or Tuesday to Friday.
We cannot, however, guarantee that we would be able to meet your preference as we have many more applications than we can meet. Please select your preference. (required)
—Please choose an option—Friday - TuesdayTuesday - Friday

Due to limited availability during School Holiday Periods, would you be willing to accept a holiday out with the School Holidays? (required)
—Please choose an option—YesNo

Please state below the reasons why you are applying for a holiday (required).
We offer holidays to families who would not otherwise be able to afford one.
I would like a caravan holiday because …

Agreement
Please note that we have a strict NO dog or cat’s policy as some children are allergic to animal hair. There is a strict NO SMOKING policy in all our caravans. Do you agree to bring no animals into the caravan and to not smoke in the caravan?

If allocated a holiday I promise to look after the caravan and abide by the site rules.

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