THE HOLIDAY PROJECT
Belford Mill, 16 Brewery Road,
Kilmarnock, KA1 3GZ

Van Number:
Application date:
Reference:
Bed linen:
Arrival Time:

01563 524800/0784 2211994
theholidayproject@btconnect.com
Tuesday-Friday, 9:00am-2:00pm
PLEASE TELEPHONE FIRST IF YOU ARE VISITING THE OFFICE

Application form 2012

The cost of a holiday via The Holiday Project in 2012 varies between £195-£280 for one full week, plus a returnable deposit of £30.00. (The caravan must be left in a suitable condition for the next customers).
How do you want your deposit returned? Collection at office o Cheque posted o

TITLE................ NAME...............................................................
ADDRESS...........................................................................................
.............................................................................................................
POSTCODE.........................................................................................
CAR REGISTRATION.........................................................................
TELEPHONE..Home/Mobile................................................................
EMAIL...................................................................................................
The Holiday Project welcomes people with a disability, mental health or special need.
Does anyone in your party have a disability or special need? o Does anyone in your party use a wheelchair? o

Priority is given to disadvantaged families that are on a low income, single parent families or have a member of family who has a disability or special needs. Priority is also given to residents of East Ayrshire—however, all applications will be considered regardless of area of residence. No dogs or pets are allowed.

All information supplied is confidential, please tick:
Are you?
EMPLOYED
UNEMPLOYED
FURTHER EDUCATION
RETIRED/SENIOR CITIZEN
ONE PARENT FAMILY

HOLIDAY DATE:
____________________________________________________________________________________________________________

Do you need sheets, pillow cases and duvet covers? There is a charge of £11.00 for this service o
I have read the terms and conditions in the Policies and Procedures leaflet o
PLEASE GIVE THE NAMES OF EVERYONE GOING ON HOLIDAY SO THAT YOUR FREE FUN PASSES CAN BE ISSUED ON YOUR ARRIVAL (pre-paid by The Holiday Project)
WE NEED TO KNOW THE AGES OF EVERYONE UNDER THE AGE OF 18.
(1) ________________________________________________ (5) _____________________________________________
(2) _______________________________________________ (6) _____________________________________________
________________________________________________ (7) _____________________________________________
(4) ________________________________________________ (8) _____________________________________________

Please respect the caravan and its contents. The Holiday Project relies on grants and fundraising to subsidise your holiday which would otherwise cost over £600 for a full week.

DATE	PAID	DATE	PAID		FEE BACK?

Scottish registered Charity Number SC030795