Refer a Child on a CHICKS Break
Who can refer?
Anyone that works with a child in a professional capacity can refer them for a five day residential respite break.
Agencies that currently refer to us include Social Services, schools, youth groups, churches, Young Carers' groups and community centres amongst others.
The professional must know the child to make the referral. Before a child is booked on a break a CHICKS coordinator will conduct a telephone assessment with this professional and this will cover the reasons why the child has been referred as well as any behavioural or medical needs the child has. It is important that this person is able to answer these questions with as much detail as possible to allow CHICKS to make a decision as to whether it is the right support for each child.
This professional will be asked to agree to be the main contact between CHICKS and the family, to provide sufficient 24 hour contact information while the child is on the break and to organsie suitable transport and supervision to and from our pick-up points.
Children must be aged between 8 - 15 years old. Children are welcome back each calendar year (depending on the previous break report and suitability) but they may only attend once per calendar year.
Children can be referred to CHICKS for a huge variety of reasons. They may be living in poverty, be young carers or be subject to neglect, bereavement, abuse, emotional distress or any other situation that causes the child to have a tough time at home.
For more information, including criteria for referral please check our FAQs.
Please Note, submitting a referral does not guarantee a space on a break. We receive more referrals than we have available spaces.
- Complete an online 2018 Referral Form.
- Telephone Assessment - when CHICKS feels they are able to offer a space to the child(ren) you have referred they will call you to conduct a telephone assessment. This is the point at which you will know whether the child has a break with us or not.
- Consent Form - if successful, you will need to inform the family and get a 2018 Consent and Medical Form signed by the child's legal guardian.
- Transport Form - CHICKS will provide you with a form with the different pick-up and drop-off locations and times.
National Express Discount
CHICKS are delighted to have been chosen as National Express’s newest charity partner, alongside The Prince’s Trust. Supporting CHICKS is one way in which National Express will fulfil its Youth Promise, a set of five commitments made to young people to enhance their opportunities of success in work, education and life.
As part of their package of support, National Express, the UK's largest coach operator are donating:
- 1,000 free return coach journeys in 2018 to be used by children accessing a CHICKS break
- a 25% discount on coach travel for all adults accompanying children to CHICKS
- a 25% discount on coach travel for break volunteers.
By providing a free method by which children can reach CHICKS, this support from National Express will enable children whose parents or referral agents had previously been unable to fund their travel, to access a CHICKS break. Often these are the children in most need of our support.
In addition, in 2018 National Express are also funding the Memory Bags given to each child at the end of their break, complete with presents, diaries and photo compilations of their time at CHICKS.
We will offer you this discount when confirming a child's place on one of our breaks and confirming the transport locations and times.
*If referring for our Help for Heroes breaks please scroll down to find a seperate referral form.*
We require a new referral each calendar year and our 2018 referral form is now active. Please see below a list of our Spring break dates and our 2018 referral form.
Please also find our Consent and Medical form which needs to be hand signed by the child's legal guardian.
Please note, submitting a referral does not guaruntee a break place being allocated. Unfortunately, we receive more referrals than we have spaces.
If you would like to discuss booking a group of children, then please get in touch with the team using the contact details below.
Help for Heroes Breaks
CHICKS and Help for Heroes are working together in 2018 to create respite breaks for children of wounded, injured and sick servicemen and women. The breaks will give the children a chance to make friends with young people in similar situations and give them a chance to build their confidence, create positive memories and have a fun time away just for themselves.
Please email firstname.lastname@example.org for the 2018 H4H Referral Form
If the parents haven't done so already you can print out the Consent and Medical Form below which needs to be hand signed and sent back to email@example.com
Any more questions?
"CHICKS breaks are a source of pure, uncomplicated happiness for a child who has had some difficult experiences." Referral partner, Hackney