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Lumiere Celbration of life - application form

A celebration of your child, just as they are. Our gifted celebrations give children with life limiting conditions, including those recieving palliative or end of life care, time to enjoy special moments with the people who love them.


Please share only what you feel comfortable with. If you would like for us to answer any questions before completing the form please email us info@lumierecharity.org


We'll review your application with care. We will be in contact within the next two weeks.

Multi-line address
Which describes your child's circumstances? Please select all that apply:

Application aknowledgements:

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