Application forms: digital or paper version

Since 2005, the many beautiful family testimonials are a huge encouragement for the daily commitment and drive of our employees and volunteers!  

Are you a family with a sick child who also wants to enjoy such a unique family holiday?  Before proceeding, carefully read our selection criteria that a family with a sick child must meet in order to be considered.


  • DIGITAL: Below .PDF files can online only be filled in via Adobe Acrobat Reader DC (*). How? Click on the image and save the document on your computer. Once the document is saved, move the cursor (= pointer on the screen of a computer) to the document, right-click on the mouse and indicate: Open with (you get a list box, click on:) Adobe Acrobat Reader DC. Click on 'Tools' at the top, then on 'Fill in & Sign'. After you have filled in everything, first save the completed document on your computer and send it via email to: (also see the digital step-by-step plan)
     (`*) Download here the FREE Adobe Acrobat Reader DC and save the programme on your computer, if it is not already saved on it.
  • HANDWRITTEN: Click on the images of the two forms below and print both .PDF documents to be filled in manually. Scan and send them via email to:

Quick & easy


Part 1/2: To be completed by the parent(s):



Part 2/2: To be completed by the primary care physician of the sick child: