Referral Form

The child needs to be referred before their 19th birthday and anyone, including families, can refer a child. Please complete the form below and don't worry if you don't have all of the information to hand immediately.  We can collate this at a later date. 

Download our editable pdf referral form here and send it to us or print it out and send it to us at Martin House, Grove Road, Boston Spa, LS23 6TX.