Apply to become a Befriender

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Please give us the following information

Name of the baby who died:*

Relationship to yourself:*

Baby’s age at death:*

Date Baby died:*

Cause of death:*

Please tell us why are you interested in becoming a Befriender:*

Once we receive this form from you, a member of the Support Team will contact you to arrange an informal “telephone interview” and find out a little more about why you want to become a Befriender.

When is the best time of day to contact you? (Between Mon-Fri 9.30am-5pm)*

Keeping in touch

At The Lullaby Trust, we’re determined to do all we can to save more lives. We can’t do this without the help of our supporters, which is why we’d like to keep in touch with you about our vital work, news and opportunities to support us.

Please confirm below how you want to hear from us in future

Email*

Post*

Phone*

Text message*

You can change the way you hear from us at any time by emailing us or calling 020 7802 3200. Please also see our Privacy Policy for how we collect, use and look after your information.

Phone

This field is for validation purposes and should be left unchanged.

Apply to become a Befriender

Befriender Application

Please give us the following information

Keeping in touch

I need information

I need support

I want to help