Nomination Form

Nomination Form

Nominate someone for a day out or short break...

Every year, '4 Cancer' is able to offer a number of short-breaks and holidays for families who would particularly benefit from spending some quality time together away from home.  Our short breaks enable families to break away from everyday life and try something new and different!

We have already received a large volume of nominations for this year. Consequently, we are already restricted in terms of the number and type of holidays which we can offer. However please do still place your nomination; the nominee will be placed on a waiting list and we will contact them as soon as possible. If the nomination is urgent please specify this on the form and explain why. Our holidays are suitable for all ages.

N.B. Unlike our days out, our short breaks and holidays are a one-off opportunity.

Please fill out the form below