Blitz Holiday Funding Application Form

If you are filling in this application on behalf of someone else, please ensure the details provided are of the person whom we should contact regarding the funding - as and when it becomes available. If you are applying as a group please use one application form.

Name

Address

Email Address

Telephone Number

Your Preferred Venue

Bond Hotel, Blackpool
Bond Hotel, St Anne's
Bond Holiday Homes

Which dates would you like to go on holiday? Please note that funding cannot always be guaranteed for these dates but we will do our best to accommodate you. Holidays are subsidised and by choosing a break at certain times of year will provide you with a more cost effective holiday

Are you applying as a:-

Group
Family
Voluntry Organisation

How many people living with a disability require a subsidised holiday?

How many carers will be accompanying?

What age group do the applicants fall into?

0-11 Years
12-20 Years
21-35 Years
36-50 Years
51-70 Years
70 Years +

Nature of disability

Do you require a wheelchair accessible room?

Can you manage a flight or stairs?

Do you want a quote for care?

Do you want a quote for accessible transport?

Can you travel with less than 2 weeks notice?

Have you previously stayed with Bond Holidays?

Is there any additional information you would like to provide to accompany your application?

How did you discover Blitz Holiday Funding?

Declaration

1. I understand that completing this form does not guarantee Blitz will provide holiday funding. 2. Short breaks will be subsidised, I am aware that (lesser) costs to myself will still be applicable. 3. Any funding that is given by Blitz is non-refundable by Bond Holidays

Please check this box to state that you have read the declaration above.

All information given will be held in the strictest confidence and will NOT be passed onto third parties. You may however receive our latest deals via email, post or phone.

Please check this box if you do NOT wish to hear news and updates from Blitz or Bond Holidays

Please enter the verification code, case sensitive

Bond Hotels

Blitz Holiday Funding Application Form

If you are filling in this application on behalf of someone else, please ensure the details provided are of the person whom we should contact regarding the funding - as and when it becomes available. If you are applying as a group please use one application form.

Which dates would you like to go on holiday? Please note that funding cannot always be guaranteed for these dates but we will do our best to accommodate you. Holidays are subsidised and by choosing a break at certain times of year will provide you with a more cost effective holiday

Declaration