Add your services Contact Details > Review > Confirmation If your organisation provides free services to children or young people with life-limiting or life-threatening conditions and their families, you can add your details to our online directory. Please enter your details on this page and then click the continue button below. Required fields are marked *. Your Contact Details * organisation name * country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Republic of Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia, The Former Yugoslav Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States o Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupie Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S. Georgia and S. Sandwich Isl Saint Helena Saint Lucia Saint Martin Saint Vincent & the Grenadines San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Kitts & Nevis Sudan Suriname Svalbard & Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay US Minor Outlying Islands Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Vietnam Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Western Samoa Yemen Yugoslavia (Serbia and Montene Zambia Zimbabwe * postcode * address * town/City county * email address * confirm email address Job title telephone (day) telephone (evening) mobile number Keeping in Touch Please review the following statements and tick those that apply: I am happy for you to contact me by post I am happy for you to contact me by phone I am happy for you to contact me by email I am happy for you to contact me by SMS (text message) Display Details Would you like the contact details you’ve entered above to be displayed in your directory listing? Select 'No' to enter alternative contact details. yes no Website service description Your services Please tell us more about the services you offer: Age range(s) served:BabiesNo age restrictionYoung adultsChildren Area(s) served:Channel IslandsNorth EastSouth WestEast MidlandsNorth WestWalesEast of EnglandNorthern IrelandWest MidlandsIrelandScotlandYorkshire and the HumberLondonSouth East Types of service offered:Bereavement supportFinancial helpChildren's hospice serviceHolidays and leisureCommunity nursingHospice - for young adultsDream or wish fulfillmentInformation and adviceEducationResidential schoolsEmotional supportRespite and short breaksEquipment provisionTherapiesFamily support User Account The username of your login account will be the email address you have supplied in your contact details. Please specify a password for your login account. The password must be: at least 6 characters long contain at least one alphabetic character and one numeric character * password Please type the code shown below into the corresponding box. Note this is NOT case sensitive: Please enter the code shown
